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1993, 04-29 Permit App: 93003032 Mechanical Fixtures
35234, ( 7// (, _/ IVMEUHAlmml. rc:414e,1 K("r i.iut a.vu . V..... LI40(.7 (6� Z�3 Ir.formation Worksheet ,/ JOB STREET ADDRESS: 0 CITY/STATE/ZIP: L-+ � d/c2 PARCEL NUMBER: I,� . . ./. PHONE NUMBER(: 536 -<O©a 60 OWNER: �.d t_, /49th- ,U�(� 'l.��lfP, �. q9 `c MAILING ADD- SS: �• /I(Street) /(City/State) (Zip) ( CONTRACTOR: //1 /. .f 1• - LICENSE NUMBER: .54-1 R. -WE- 3-2(9.4.1r • PHONE NUMBER: tag ._` MAILING ADDRESS:_aa 3 2MX? pB- p f LL2i.4q`93D (Street) /(City/State) (zip) MECHANICAL WORKSHEET/FEE SCHEDULE INUMBER X EACH I DESCRIPTION OF UNITS UNIT = AMOUNT DUCTWORK SYSTEM x$10. 00 = WOODSTOVE/INSERT x 25.00 = GAS WATER HEATER / x 10. 00 = /0, 00 HEATING EQUIPMENT <100, 000 ETU x 12 . 00 = HEATING EQUIPMENT +100, 000 ETU / x 13 .4 /.S' tea GAS PIPING (1 --4 OUTLETS) / x -4-rr---- I` O a GAS PIRING (5 OR MORE. EACH: ) x 1.00 = REFRIG 1-100M BTU (NOT A/C OR HEAT PUMP) s 12 . 00 22.00 = REFRIG 101-500M BTU x 20.00 = REFRIG 501-1, 000M BTU x 35.00 = REFRIG 1,001-1,750M BTU x 60.00 = REFRIG +1,750M BTU HEAT PUMP & AIR CONDITIONER 0-3 TONS _ x 12 .00 = HEAT PUMP & AIR CONDITIONER 3-15 TONS / x 20.00 = ,, 1, D0 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 = x 10. 00 = VENTILATING FANS x 10.00 = EVAPORATIVE COOLERS TYPE I HOOD (PER 12 ' OR 12 ' PTN. OF HOOD) x 30.00 = 10.00 = TYPE II HOOD x 10.00 = CLOTHES DRYER x 10.00 = RANGE - x 10.00 = GAS LOG MISCELLANEOUS (NOT COVERED ELSEWHERE) x 10.00 =- _ UNLISTED GAS APPLIANCE <400,000 ETU_ _ x 50.00 = UNLISTED GAS APPLIANCE >400,000 BTU_ _ xx510. 00 = USED APPLIANCE <400,000 BTU x150. 00 = USED APPLIANCE >400,000. BTU x 12 .00 = AIR HANDLER <1010.00 CFM x 15. 00 = AIR HANDLER >10,000 CFM SUBTOTAL _ $ , PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT NOTE: MINI- 1 `'Ell T PEE J S $35.00 FEE DUE _ $ W,!2 • SIGNATURE a( 11 i I W5; • / ''.- i S oka e .t . my Department of Building and Safety • West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675'