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1993, 01-11 Permit App: 93000125 Mechanical Fixtures L-N -z,4 '0'0 s /1 93_ z s V -ii tunas >01'4°Q T_` ,-- Worksheet S1z7 JOS STREET �£ c E ' /61-tiL ,c' ' Ce4 . a • 0 CITY/STATE/ZIP: Sc -we ,W ct, clicr2sip PARCEL NUMBER: Ut' 't d� Ye7714. 71--e_A---) PHONE NUMBER:97?(27- 7/q`f a OWNER �-c _ MAILING ADDRESS: //6---2. E ' /� `- Spo/ meq. 99..)--- , (Street) (City/State) (Zip) CONTRACTOR: PS 44tra06.31 grkr *- M.`r LICENSE NUMBER: R -rt, ti_ik t i o a z._ PHONE NUMBER: RIs.. Soo c1 MAILING ADDRESS: g. %\S lL lrv, Ay.a i E L aa c.Q il.3 Caps 14-...r,...-a.\A.A.o t.vs 4-424:3,, (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS UNIT = AMOUNT DUCTWORK SYSTEM x$10.00 = WOODSTOVE/INSERT x 25.00 = GAS WATER HEATER / x 10.00 = /o , HEATING EQUIPMENT <100,000 BTU x 12.00 = /�.oc> HEATING EQUIPMENT +100,000 BTU x 15.00 = GAS PIPING (1 - 4 OUTLETS) x 4.00 = GAS PIING (5 OR MORE. EACH: ) 2 x 1.0 0 = a -o 0 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 HOODS _ 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 BTt1 _ _ 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 = I SUBTOTAL $ '4- ao PLUS: PROCESSING FEE + $ 25.00 J EQUALS: TOTAL PERMIT d� MOTs: •4 "• ' T {i $25.00 FEE DUE • $ l'9 SIGNATURE d'-2 Spokane County Deoartseet of ! aid def-. -