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1991, 10-15 Permit App: 91006870 Mechanical Fixtures
MECHAM tL PERMIT APPLICATION FORM : 13-. /Y formation Worksheet P // t JOB ''STREET. ADDRESS: �� 72 ,5 ....,? "3 CITY/STATE/ZIP: te% o, - PARCEL NUMBER: - /517A OWNER: /[i .,r',e?'4T•-,.� � YJ2� �;.� c z. PHONE NUMBER: %-;7Y % t'`/"' MAILING ADDRESS: %,o? _ST.73 pi %�1‘-, (Street) (City/State) (Zip) CONTRACTOR: AIR .DESIGN, INC. LICENSE NUMBER: AIRDEI*161JW PHONE NUMBER: 487-4328 MAILING ADDRESS: E 1815 FRANCIS SPOKANE WA 99207 (Street) (Cit State) (Zip) ammilmommmiummimmusw MECHANICAL WORKSHEET/FEE SCHEDULE I NUMBER X EACH I L155lZlYi 1JfOF UNITS ITS UNIT = AMOUNT DUCTWORK SYSTEM x$10.00' WOODSTOVE/INSERT X 25.00 = GAS WATER HEATER X. 10.00 HEATING EQUIPMENT <100,000 BTU / x 12.00 = /3 (" . HEATING EQUIPMENT +100,000 BTU x 15.00 GAS PIPING (EA OUTLET) _ x 1.00 =, .. / . e- 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 BTUx 35.00 REFRIG +1,750M BTU - _ - - x60.00 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 a. TYPE I HOOD (PER 12 ' OR 12' PTN. OF HOOD) x 50.00 = TYPE II HOOD x 10.00 = CLOTHES DRYER x 10.00 :. RAF;GE _ _ X 10.00 = GAS LOG _ x 10.00' _ MISCELLANEOUS (NOT COVERED ELSEWHERE)_ _ x 10.00 s . ' UNLISTED GAS APPLIANCE <400,000 BTU_ _ _ x 50.00 = UNLISTED GAS APPLIANCE >400,000 BTU x100.0.0 = 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 $ /5 ,re- PLUS: re-PLUS: PROCESSING FEE + $, 25.00. EQUALS: TOTAL PERMIT NOTE: MINIMUM PERMIT FEE IS $35.00 FEE DUE $, j Ce, SIGNATURE ///G1-�-�( �� ‘ <07 Spokane. County Department of Buildingand Safety West 1303 Broadway Avenue Spokane, WA 260 (50, 9) ,456-3675