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1991, 01-16 Permit App: 91000089 Mechanical Fixtures • 4 ._ r MECHANICALPERMIT APPLICATION FORM information Worksheet JOB STREET ADDRESS: East 13305 15th CITY/STATE/ZIP: Spokane , WA 99216 PARCEL NUMBER: OWNER: Ed Ross PHONE NUMBER: 509/924-7031 MAILING ADDRESS: Same as Above (Street) (City/State) (Zip) CONTRACTOR: Steinmetz Heating & A/C LICENSE NUMBER: STEINHA247KF PHONE NUMBER: 509/922-2034 MAILING ADDRESS: 2206 North Pines Road Spokane WA 99216 (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS UNIT = AMOUNT DUCTWORK SYSTEM x$10.00 = WOODSTO4E/INSERT x 25.00 = GAS WATER HEATER x 10.00 = HEATING EQUIPMENT <100,000 BTU 1 x 12.00 = 12 .00 HEATING EQUIPMENT +100,000 BTU x 15.00 = GAS PIPING (EA OUTLET) 2 x 1.00 = 2 .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 = RANGE x 10.00 = GAS LOG x 10.00 = 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 $ 14. 00 PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT NOTE: MINIMUM PERMIT FEE IS $35.00 FEE DUE = $ 39 .00 SIGNATURE 541/4._ iLsQ4) Spokane County Department of Building and Safety West 1303 Broadway Avenue Spokane, WA 9260 (509) 456-3675 ;(:).„ MECHANICAL PERMIT APR FORM F L- .Mit • Infor, aticn Worksheet JOB STREET ADDRESS: East 13305 15rh CITY/STATE/ZIP: Spokane, WA 99216 PARCEL NUMBER. t OWNER: Ed Ross PHONE NUMBER: 9 4-7031 MAILING ADDRESS: Same as Above (Street) (City/State) (Zip) CONTRACTOR Steinmetz Heating & A/C LICENSE NUMBER: STEINHA247KF PHONE NUMBER: 509/922-2034 MAILING ADDRESS: 2206 North Pines Road Spokane, WA 99216 (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER I X EACH DESCRIPTION OF UNITS UNIT = AMOUNT DUCTWORK SYSTEM x$10. 00 = WOODSTOVE/INSERT x 25.00 = GAS WATER HEATER x 10. 00 = HEATING EQUIPMENT <100,000 BTU 1 x 12. 00 = 12 . 00 HEATING EQUIPMENT +100, 000 BTU x 15. 00 = GAS PIPING (1 - 4 OUTLETS) 2- x 4. 00 = 3 .00 - GAS PIPING (5 OR MORE. EACH: ) 12x 1. 00 = --- REFRIG 1-100M BTU (NOT A/C OR HEAT PUMP) x 12. 00 = y=`� 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 = RANGE x 10. 00 = GAS LOG x 10. 00 = 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 $20.00 V1-3 %'/ 64)057 PLUS: PROCESSING FEE + $ 25. 00 /y EQUALS: TOTAL PERMIT NOTE: NI UM PERMIT FEELIS $35.00 FEE DUE = $45.00 SIGNATUREC� T , ,Aj , 7_ve9 Spok aCounty Department of Building and Safety West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675