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1991, 05-16 Permit App: 91002644 Mechanical fixtures MECHANICAL PERMIT APPLICATION FORM • , Information Worksheet ,:., / -7 •L--- JOB STREET ADDRESS: ;.-T/ -s. L..) .t- ., CITY/STATE/ZIRLcitsywe4yt1/z:/ ley. e--/ :al, -..9_- PARCEL NUMBER: OWNER: 6/_712fi-,•,_ -.7"-T?) •PHONE NUMBER: . MAILING ADDRESS: _f-'/•//--)iii.- • (Street) (City/State) (Zip) CONTRACTOR: NEAT TRANSFER LICENSE NUMBER: HEATT1-188LN PHONE NUMBER: 328-3400 MAILING ADDRESS: N. 1008 Ru y SpokanP. WA 99202 • . (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 .:.... x10.00 = • ---0A$*00#:.4'.0N1.10.0000 :;#1g,(I000)001111;i0: . x 12.00 = . . GAS EQUIPMENT+100,000 BTU.DUCTWORK) x 15.00 = . . . . pA§..::.plp!Nq ( Apt)17T) ,:i:okgi.,zaginiumagiimim:iiig. x 1.00 = BOILER/REFRIG 1-100M BTU x 12.00 = • kollxV.Bg:Fatoinil..4,500yoonnommiiitiggimitilig x 20.00 = BOILER/REFRIG 501-1,000M BTU . x 25.00 = • ktjVrt4gPM01A.i;§40j34.'rtgRBtq:gnnEggnr : x 35.00 = • BOILER/REFRIG"+1.,760M BTU x 60.00 = . . •••••........................••••••••..,.. ........,•••••••••...•........,........-............,.......„..............................,...„:„.„:„.„.:„., HEAT pumpi,&,AtFCC.ONDITIONERi0.4:70NSz:.:..:?:u ::nmF•,:,- x 12.00 = . . ...............,:-.--..,..:... ......,,,::-...:.:,..::-....---.... .........:::,::-.,..--,..-...--.,..,::::-.--:,:--- ----:.•-:-...-•-:,::,:::::::::-:::=:: ::::i::••, HEAT PUMP &AIR CONDITIONER 3-15 TONS J x 20.00 = ... .... . . . .. .. ... . .:. ..,........ . .::. .:,. .. HEATPUMP.&r:AIR CONDITIONER 15-30 TONS . x 25.00 = • .. . --: ..- ...... •••• • ....,..,-........,•••••••••••••••••••••••.,•:.,:•-: HEAT PUMP &AIR CONDITIONER 30-750 TONS x 35.00 = • HEAT PUMP a AI CONDITIONER +50 TONS x 60.00 = VENTILATING FANS x 10.00 = EVAPORATIVE COOLERS x 10.00 = TYPE I HOOD (PER 12OR 12' PTN. OF HOOD) x 50.00 = TYPEIIHooplijiiiiiiiiiIIIIIMMEtiiiiigigiiiiiiid:gg0!g:4:::1. x io.00 = CLOTHE DRYER • • • x10.00 = •• • RANGE - x1000 = . GAS LOG x 10.00 = 10$0. 04.0APIPP•TV.:.!_00itagt.G14WRgAgiiiiin, x 10.00 = • • . UNLISTED GAS APPLIANCE<400;000 BTU . x 50.00 = .i.4(40STE.01.140,,!Atgiogio.:0*.p.omovigiiiiiiiiiiiigiiiggi x100.00 . USED APPLIANCE<400,000 BTU . x 50.00 = (001tkijAM#1147418M1f1101311111111111111§111 x100.00 . AIR HANDLER<10,000 CFM x 12.00 = :AII:ViHANDLErtii51 03)00.:CFM x.15.00 = SUBTOTAL $ PLUS: PROCESSING FEE ' + $ 25.00 - • . . NOTE: MINIMUM PERMIT FEE IS $35.00 EQUALS: TOTAL PERMIT FEE DUE - = $ 4.7/g6 I• 44,- • . -' AO SIGNATURE • 4 _ -4" / Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675