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HomeMy WebLinkAbout1994, 09-01 Permit App: 94008531 Furnace MECHANICAL PERMIT APPLICATION FORM • •information Worksheet /� JOB STREET ADDRESS: F 13,) i /6l;" qi4 .. g51 CITY/STATE/ZIP:„f1 M- ,,„0 7 LC� 2'yc) //r, PARCEL NUMBER: OWNER: li,)a.> :,,_, j'11 cr., ,. PHONE NUMBER: 9 r..t 1 - <>2 0 7 MAILING ADDRESS: (Street) - (City/State) (Zip) CONTRACTOR: �I.)/1 Y p 1-11----(-6T1;!..> LICENSE NUMBER:/'/°RC(/) yiq (1 ' 4 I E � / PHONE NUMBER: MAILING ADDRESS: dC S 10 3 I�•-;•f�.{ _ 5� 442.0--Y,�, IV 0. ?'7c '/ (Street) / (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS UNIT =AMOUNT ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) x 10.00 = WOODSTOVE/INSERT, x 25.00 = GAS WATER HEATER x 10.00 = ,GAS EQUIPMENT dO4,000 BTU(INCLUDES ' x 12.00 = GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 - •GAS PIPING(EAOUTL ::: `.. .. ..... x 1.00 = BOILER/REFRIG 1-100M BTU x 12.00 = 7.0.01LERI.REFRI.0101.40.04.:;'100.; piii:ii:!:::,,i:ii:-.4:,:ii7:*:E:E:::!!:::::;.;i::!:,:a.:::t! x 20.00 = BOILER/REFRIG 501-1,000M BTU x 25.00 = BOILER/REFRIG7.:1.0001-1,750M BTU x 35.00 = BOILER/REFRIG +1,750M BTU x 60.00 = HEAT PUMP&AIR CONDITIONER 0=3`TONS / x 12.00 = / U 01 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&AIA CONDITIONER X50 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 = TYPE711 HOOD ; .. x 10.00 = • _ CLOTHES DRYER x 10.00 = RANGE x 10.00 = GAS LOG x 10.00 = MISCELLANEOUS(NOT COVERED'ELSEWHERE x 10.00 = UNLISTED GAS APPLIANCE<400,000 BTU x 50. 0 = ULINSTED`GAS APPLIANCE>400000 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 as $ 4� 36 PLUS: PROCESSING FEE +$ 25.00 NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS: TOTAL PERMIT FEE DUE =$37, 00 SIGNATURE i / - !fit' t-e Spokane County Division of Buildings West 131 'way Avenue Spokane, WA 99260 (509) 456-3675