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1993, 03-08 Permit App 93001298 Wtr Htr, Furnace-Void
SIGNATURE DESCRIPTION c).- /, J \ % MECHANICAL PERMIT APPLICATION FORM Information Worksheet;� JOB STREET ADDRESS: JC DC- �, .'J,2 Jr.'ztit 11h CITY/STATE/ZIP:4'(: 1) `ri,U(c PARCEL NUMBER: OWNER:-61Gi i) MAILING ADDRESS: PHONE NUMBER: C1F -U -Q 1 to (Street) CONTRACTOR: AIR DESIGN. INC. MAILING ADDRESS: E 1815 FRANCIS (Street) (City/State) (Zip) LICENSE NUMBER: AIRDEI*161JW PHONE NUMBER: 487-4328 SPOKANE WA 99207 (City/State) (Zip) MECHANICAL WORKSHEE'/FEE SCHEDULE NUMBER X EACH OF UNITS UNIT. DUCTWORK SYSTEM WOODSTOVE/INSERT GAS WATER HEATER HEATING EQUIPMENT <100,000 HEATING EQUIPMENT +100,000 GAS PIPING (EA OUTLET) • OR. HEAT PUMP). REFRIG 1-100M.BTU (NOT A/C REFRIG 101-500M.BTU' REFRIG 501-1,000M REFRIG 1, 001-1, 750M. BTU REFRIG +1,75OM BTU 0-3 TONS 3-15•TONS _ •15-30.TONS _ 30-50 TONS _ +50 TONS _ BTU BTU HEAT 'PUMP: & ". HEAT ' PUMP. .& HEAT PUMP & HEAT PUMP & HEAT PUMP & VENTILATING AIR' CONDITIONER AIR`CONDITIONER AIR CONDITIONER. AIR CONDITIONER .AIR CONDITIONER FANS EVAPORATIVE' COOLERS TYPE I HOOD (PER 12' OR 12' PTN. TYPE II HOOD CLOTHES DRYER RANGE GAS LOG MISCELLANEOUS (NOT COVERED ELSEWHERE)_ _ UNLISTED GAS APPLIANCE <400,000 BTU_ _ _ UNLISTED GAS APPLIANCE >400,000 BTU USED APPLIANCE <400,000 BTU USED APPLIANCE >400,000 BTU AIR HANDLER <10,000 CFM AIR HANDLER >10,000 CFM OF. HOOD) NOTE: MINIMUM PERMIT FEE IS $35.00 Spokane County Department of Buildingand Safety West 1303 Broadway Avenue Spokane, WA 9260 (509) 456-3675 = AMOUNT x$10.00 .= x-25.00;= x'10.00.,_ JC',G''o x ` 12.00.�'. x ._,12 . 0 0, y= x20.00:1t= x 25:00`= X 35.00 = '::r.. . X60.00= X41,12:.00;w=. ;:�.•,.., •• X'20::00;= x 4: 2 5 :' 0 0 ;= x4,35•00 s. x 60.00:•;= x 10.00.= x 10.00= x 50.00:= x 10.004= 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 = • SUBTOTAL PLUS: PROCESSING FEE EQUALS: TOTAL PERMIT FEE DUE