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1993, 04-20 Permit App: 93002732 Mechanical Fixtures
6/y MECHANICAL PERMIT APPLICATION FORM Information Worksheet oaf" I ��` 'V-1ut A I a 67 JOB STREET ADDRESS : (PUj�I� F,�}\ CITY/STATE/ZIP: �pbK U 44 Gail a PARCEL NUMBER: .3.6.7c/3 . 0G y3 OWNER: Clc'IJey PHONE NUMBER: b34 - 4-7 c4(-) 1 MAILING ADDRESS : �I�j ,-� _ Sok W h 00.20 (Street) (City/State) (Zip) CONTRACTOR: AIR DESIGN , INC , LICENSE NUMBER: AIRDEI*161JW PHONE NUMBER:_ 487-4328 MAILING ADDRESS : E 1815 FRANCIS SPOKANE WA 99207 (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE ,•. ,, NUMBER X EACH DESCRIPTION OF UNITS UiNIT : : = AMOUNT DUCTWORK SYSTEM x$10. 00•.= WOODSTOVE/INSERT x 25. 00 GAS WATER HEATER *,_ X 10. 00 .,= J , 00 HEATING EQUIPMENT <100, 000 BTU _ _ _ _ - 1 x 12 OO r-' r a[ ` HEATING EQUIPMENT +100 , 000 BTU x 1500 • . GAS PIPING,; (EA OUTI,FT) ),_ x .1.00 = i' (\, •. REFRIG 1-100M BTU (NOT A/C OR. HEAT PUMP) ., x 12 :00; , • REFRIG .101-500M BTU x 20.u0 ,--- REFRIG 501-1 ' 000M BTU7 :.; ', _ x 25 00 ' REFRIG 1, 001-1,750M BTU (x -35.00v , REFRIG +1,750M' BTU ;• • _ x 6.0. 00 HEAT :`PUMP; AZR ;CONDITIONER''0-3 TONS x 12.00 =`„ i HEAT 'PUMP'`&'`AIRF CONDITIONER 3-15 TONS x 20_J0, HEAT PUMP .& AIR, CONDITIONER= 15-30 TONS x 251`00 HEAT PUMP & AIR ^ONDITIONER: 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 = RANGE x 10: 00 = : ` GAS LOG X 10: 00 =J MISCELLANEOUS (NOT COVERED ELSEWHERE) x 10. 00':= UNLISTED GAS APPLIANCE <400, 000 BTU_ x 50. 00 = UNLISTED GAS APPLIANCE >400, 000 BTU_ x100. 00 ,= USED APPLIANCE <400 , 000 BTU x 50 . 00 = USED APPLIANCE >400, 000 BTU x100. 00= AIR HANDLER <10 , 000 CFM x 12 . 00 = AIR HANDLER >10 , 000 CFM x 15. 00 = SUBTOTAL $ L1 .UV PLUS : PROCESSING FEE +" $ 25 . 00 EQUALS : TOTAL PERMIT NOTE: MIN MUM PERMIT FEE IS $35 . 00 FEE DUE = $ 1 ' .( SIGNATURE 14 7', _ ) y. Spokane County Department of Building and Safety West 1313 Broadway Avenue Spokane, WA 99260 (569) 456-3675