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1992, 11-23 Permit App: 92010317 Mechanical FixturesLFDa-3 co MECHANICAL PERMIT APPLICATION FORM �‘I40E2e c Infor.:nation Yl/orksheet JOB STREET ADDRESS: 2 7 2 2 Cheryl Ct. CITY/STATE/ZIP: Spokane . WA 99037 PARCEL NUMBER - OWNER: Daniel Meckel PHONE NUMBER: 924-1543 L�c c MAILING ADDRESS: (Street) CONTRACTOR: Inland Heating & Cooling MAILING ADDRESS: DESCRIPTION 3655 Govt. Way 1112 (Street) (City/State) SUNLOI107J6 (Zip) LICENSE NUMBER: SUNLOI101JB PHONE NUMBER: 455-4147 Coeur d'Alene, ID 83814 (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER OF UNITS X EACH UNIT = AMOUNT ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) WOODSTOVE/INSERT GAS WATER HEATER GAS EQUIPMENT <-100.000 BTU (INCLUDES GAS EQUIPMENT +100.000 BTU DUCTWORK) GAS PIPING:(EAflt1TLET);. BOILER/REFRIG 1-100M BTU BOI LERIREFRIG J 01- 500M BTU BOILER/REFRIG 501-1.000M BTU BOILER/REFRIG 7,0001-1 `;750M BTU BOILER/REFRIG 4-1.750M BTU HEAT-PUMP.&AUR;GONDITIONER TO O-3 NS HEAT PUMP & AIR CONDITIONER 3-15 TONS HPN.T.:*0.MRE&!AttalcONOITIONER 15-30.TONS HEAT PUMP & AIR CONDITIONER 30-50 TONS HEAT,_ik MP& CONDITIONER-+50TONS': •VENTILATING FANS EVAPORAT0E3C4OLERS TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) CLOTHES DRYER RANGE GAS LOG MISCELLANEOUS (NOT COVERED ELSIEWHERE UNLISTED GAS APPLIANCE <400.000 I TU UUKSTED GAS APPLIANCE >400.000 BTU USED APPLIANCE <400.000 OTU USED APPLIANCE >AM= QTU AtR HANDLER <10.000 CF7r1 AIR HANDLER >10.000 CF11 NOTE: MINIMUM PERMIT FEE IS 135.00 SIGNATURE 1 1 2 x 10_00 = x 25.00 = x 10.00 = x 12.00 = x 15.03 = x 1.00 = x 12.00 = x 20.00 = x 25.00 = x 35.00 = x 60.00 = x12.00 = x 20.00 = x 25.00 = x 35.00 = x 60.00 = x 10.00 = x 10.00 = x 50.00 x 10.00 x 10.00 = x 10.00 = x 10.00 x 10.00 = x 50.00 x100.00 x 50.00 x100.00 x 12.00 = x15.00 - 10.00 15.00 7 00 SUBTOTAL PLUS: PROCESSING FEE EQUALS: TOTAL PERMIT FEE DUE 27_00 $ 25.00 -S 52.00 Spokane County Division of Buildings {-2rnorl...-i.. nnn NA/ uu-ir.i; /1;00\ AGR Q4-471-7.