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1989, 08-30 Permit App: 89003082 Wood Stove MECHANICAL.PERMIT APPLICATION FORM 9 - 0Ra Information Worksheetr24_ JOB STREET ADDRESS: Na . C(n a-)-, \C CITY/STATE/ZIP• % • _ '/ . ,L. _ PARCEL NUMBER: OWNER: \L\O. \ �` PHONE NUMBER: J�JS - ` LJ C S MAILING ADDRESS: \S \C- :-- C., (Street) (City/State)- a(Zip) CONTRACTOR: ) VA Thc `� LICENSE NUMBER: \d \ `� �.5 ,`�� G PHONE NUMBER: ''1� S- \.0`-A MAILING ADDRESS: \v, ' �g "-- S.\ '`C-_`6r \ 411 ill _ ~ (SA (Street) (Ci y/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE I NUMBER I Y_ FACN I I DESCRIPTION OF UNITS UNIT = AMOUNT DUCTWORK SYSTEM x$10.00 = WOODSTOVE/INSERT \ x 25. 00 = s.-45 00 GAS WATER HEATER x 10.00 = HEATING EQUIPMENT <100,000 BTU x 12.00 = HEATING EQUIPMENT +100,000 BTU x 15. 00 = GAS PIPING (1 - 4 OUTLETS) x 4 . 00 = GAS PIING (5 OR MORE. EACH: ) x 1.00 = REFRIG 1-100M BTU (NOT A/C OR HEAT PUMP) x 12.00 = REFRIG 101-500M BTU x 20.00 = REFRIG 501-1,000M BTU x 25.00 = REFRIG 1, 001-1,750M BTU x 35.00 = REFRIG +1,750M BTU x 60.00 = HEAT PUMP & AIR CONDITIONER 0-3 TONS _ _ x 12 .00 = HEAT PUMP & AIR CONDITIONER 3-15 TONS _ x 20. 00 = HEAT PUMP & AIR CONDITIONER 15-30 TONS _ x 25. 00 = HEAT PUMP & AIR CONDITIONER 30-50 TONS _ x 35. 00 = HEAT PUMP & AIR CONDITIONER +50 TONS _ x 60. 00 = VENTILATING FANS x 10. 00 = EVAPORATIVE COOLERS x 10. 00 = _ TYPE I HOOD (PER 12 ' OR 12 ' PTN. OF HOOD) x 50. 00 = ^______ TYPE II HOOD x 10. 00 = CLOTHES DRYER x 10.00 = x 10. 00 = RANGE x 10. 00 = GAS LOG MISCELLANEOUS (NOT COVERED ELSEWHERE) x 10.00 =_ _ 50. 00 = UNLISTED GAS APPLIANCE <400,000 BTUx_ _ _ x10. 00 = UNLISTED GAS APPLIANCE >400, 000 BTU_ _ _ 50. 00 = USED APPLIANCE <400, 000 BTU x x1 0. 00 = USED APPLIANCE >400, 000 BTU x 12 . 00 = AIR HANDLER <10, 000 CFM x 15. 00 = AIR HANDLER >10, 000 CFM SUBTOTAL $'-CO PLUS: PROCESSING FEE + $ 25. 00 EQUALS: TOTAL PERMIT NOTE: MINIMUM PERMIT FEE IS $35.00 FEE DUE = $O •eo SIGNATURE Spokane County Department of Building and Safety West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675