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1989, 05-24 Permit App: 89001430 Pool Heater MECHANICAL PERIVAT APPLICATION FORM (` -�� Information Worksheet. _ JOB STREET ADDRESS: Y, /0 ?/6 /6 t-C-_. l CITY/STATE/ZIP: jeZ '1t i�r?} Gtt,/4 !' 6 PARCEL NUMBER: .21,e)-Y.2--.3171/7 OWNER: of a/2/2_.c,' rt?.yf-fes PHONE NUMBER: MAILING ADDRESS: (Street) (City/State) (Zip) CONTRACTOR: Heat Transfer Inc . LICENSE NUMBER: HEATTI188LN PHONE NUMBER: 328-3400 MAILING ADDRESS: N. 1008 Ruby Spokane , Wa . 99202 (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS UNIT = AMOUNT DUCTWORK SYSTEM x$ 6. 50 = WOODSTOVE/INSERT x 10. 00 = GAS WATER HEATER x 6. 50 = HEATING EQUIPMENT <100, 000 BTU x 9 . 00 = HEATING EQUIPMENT +100, 000 BTU x 11. 00 = GAS PIPING (EACH OUTLET: ) / x . 50 = , 6"o REFRIG 1-100M BTU (NOT A/C OR HEAT PUMP) _ x 9 . 00 = REFRIG 101-500M BTU x 16. 50 = REFRIG 501-1, 000M BTU x 22 . 50 = REFRIG 1, 001-1, 750M BTU x 33 . 50 = REFRIG +1, 750M BTU x 56. 00 = HEAT PUMP & AIR CONDITIONER 0-3 TONS _ _ x 9 . 00 = HEAT PUMP & AIR CONDITIONER 3-15 TONS _ x 16. 50 = HEAT PUMP & AIR CONDITIONER 15-30 TONS _ x 22 . 50 = HEAT PUMP & AIR CONDITIONER 30-50 TONS _ x 33 . 50 = HEAT PUMP & AIR CONDITIONER +50 TONS _ _ x 56. 00 = VENTILATING FANS x 4 . 50 = EVAPORATIVE COOLERS x 6. 50 = HOODS x 6. 50 = CLOTHES DRYER x 6. 50 = RANGE x 6. 50 = GAS-O6- li g tT "tom.. x 6. 50 = tv.Co UNLISTED GAS APPLIANCE x 20. 00 = AIR HANDLER - 10, 000 CFM x 9. 00 = SUBTOTAL $ `7, ) () PLUS: PROCESSING FEE + $ 15. 00 EQUALS: TOTAL PERMIT NOTE: MINIMUM PERMIT FEE IS $20.00 FEE DUE _ $ a �"z Signature Uz �'- � -Ie A -��� Spokane County Department of Building and Safety West 1303 Broadway Avenue Spokane. WA 99260 (5091 456-3675