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1992, 11-23 Permit App: 92010320 Mechanical FixturesMEGHAN!CAL PEHMI APPLICATION FORM Information Worksheet JOB STREET ADDRESS: 2731 Cheryl C t . CITY/STATE/ZIP: Spokane, WA 99037 OWNER: AlhPrt Vann' MAILING ADDRESS: o -`c3 11(0(7 PARCEL NUMBER: PHONE NUMBER: 979-91 0_1 (Street) (City/State) SUNLOI107J6 LICENSE NUMBER: SUNLOI101JB PHONE NUMBER: 455-41.47 CONTRACTOR: Inland Heating & Cooling MAILING ADDRESS: DESCRIPTION (Zip) 3655 Govt. Way 1/12 Coeur d'Alene, ID 83814 (Street) (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{EAOUTLET). BOILER/REFRIG 1-100M BTU BOILER/REFRIG1101-S00M BTU BOILER/REFRIG 501-1.000M BTU BOILER/REFRIG 1,0001-1 750M BTU BOILER/REFRIG +1,750M BTU HEAT PUMP&AIR:GONDT1ONER 0-3 TONS HEAT PUMP & AIR CONDITIONER 3-15 TONS HEgTPUMP & 1f3 CONDITIONER 1-5-1:..19' TONS HEAT PUMP & AIR CONDITIONER 30-50 TONS HEAT4.11 MP %f' ,CONDITIONER -+50 TONS VENTILATING FANS EVAPORATIVEpOOLERS TYPE 1 HOOD (PER 12' OR 12' PTN_ OF H000) TYPE CLOTHES DRYER RANGE .. GAS LOG MISCELLANEOUS (NOT COVERED IELSEVniERIE UNLISTED GAS APPLIANCE <.400.000 !ITU ULINSTED GAS APPLIANCE >400.000 BTU USED APPLIANCE <i400,000 BTU USED APPLIANCE .000 STU AIR HANDLER <10.000 CF7A AIR HANDLER >10.000 CFTJ 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 = x 12.00 = x 20.00 = x 25.00 = x 35.00 = x 60.00 = x 10.00 = x 10.00 = x 50.00 = x10.00 = 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 x 15.00 10.00 15 00 7 no NOTE: MINIMUM PERMIT FEE IS 535.00 SIGNATURE SUBTOTAL PLUS: PROCESSING FEE 27.00 + S 25.00 EQUALS: TOTAL PERMIT FEE DUE = 52.00 Spokane County Division of Buildings