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1992, 12-11 Permit App 92010870 Mechanical Fixtures
MAILING ADDRESS: (Street) (City/State) (Zip) CONTRACTOR: Heat Transfer Inc. LICENSE NUMBER: PHONE NUMBER: 3 28 -3400 MAILING ADDRESS: N. 1008 Ruby Spokane, WA MECHANICAL PERMIT APPLICATION FORM ,r Information 1fo eet i JOB STREET ADDRESS: I O I() fei::-e-Ti CITY/STATE/ZIP: At, 1 w RV() lo PARCEL NUMBER: OWNER: 2I..TM J9 ftn) PHONE NUMBER: aaZic2 q2-/ce-10 I3iO4 '7c11-b�I() Heatti-1881n (Street) (City/State) MECHANICAL WORKSHEET/FEE SCHEDULE DESCRIPTION ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) WOODSTOVE/INSER'T' GAS WATER HEATER GAS EQUIP.ti4 T < 99202 (zip) NUMBER OF UNITS GAS EQUIPMENT +100,000 BTU DUCTWORK) GAS PIPING (EA OUTLET) BOILER/REFRIG 1-100M BTU O]` E BOILER/REFRIG 501-1,000M BTU BOILER/REFRIG 1,0001 t;750M,E BOILER/REFRIG +1,750M BTU HEAT PUMP & AIR; CONDITIONER 0-3•••TONS:. HEAT PUMP & AIR CONDITIONER 3-15 TONS HEAT. PUMP& AIR,CONDITIONER 15 '30 TONS HEAT PUMP & AIR CONDITIONER 30-50 TONS HEAT'PUMP'& AIR CONDITIONER +50 TONS VENTILATING FANS "EVAPORATIVE COOLERS TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) TYPE 11 HOED: CLOTHES DRYER RAN GAS LOG MISCELLATVEO(js`i 1 UNLISTED GAS APPLIANCE <400,000 BTU ULINSTED GAS APPUANCE>400,OOa BTU USED APPLIANCE <400,000 BTU AIR HANDLER <10,000 CFM ANDCER>5 0`0OO. X EACH UNIT x 10.00 = x 25.00 = x 10.00 = x 12.00 = x 15.00 = 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 = x 10.00 = x 10.00 = x 10.00 = x 10.00 = x 10.00 = x 50.00 = x100.00 = x50.00 = x100.00 = x 12.00 = x 15.00 = = AMOUNT /2, ©c2> NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE SUBTOTAL PLUS: PROCESSING FEE EQUALS: TOTAL PERMIT FEE DUE SpokanCounty Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 + $ 25.00 =$ ,3/.ED