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1990, 11-21 Permit App 90006343 FurnaceMECHANICAL PERMIT APPLICATION FORM DESCRIFIION Information JOB STREET ADDRESS: Fr• 15224 Cataldo CITY/STATE/ZIP: Spokane, WA 99216 OWNER: JOhn Evans MAILING ADDRESS: same as above Worksheet PARCEL L 6 NUMBER• / % 5 7 PHONE NUMBER: 927-6617 (Street) CONTRACTOR: Norco Heating & Air ConditioninhICENSE PHONE MAILING ADDRESS: # R_ 5103 Trent (Street) / (City/State) NUMBER :NURCO}TA170R7 NUMBER: 534-4975 (Zip) S{lirnne, WA 992J2 (City/State) (Zip) ve MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH OF UNITS UNIT DUCTWORK SYSTEM W00DSTOVE/INSERT GAS WATER HEATER HEATING EQUIPMENT <100,000 BTU HEATING EQUIPMENT +100,000 BTU GAS PIPING (EA OUTLET) REFRIG 1-100M BTU (NOT A/C OR HEAT PUMP) REFRIG 101-500M BTU REFRIG 501-1,000M BTU REFRIG 1,001-1,750M BTU REFRIG +1,750M BTU HEAT PUMP & HEAT PUMP & HEAT PUMP & HEAT PUMP & HEAT PUMP & VENTILATING EVAPORATIVE TYPE I HOOD AIR CONDIITIO?<ER AIR CONDITIONER AIR CONDITIONER AIR CONDITIONER AIR CONDITIONER FANS 0-3 TONS 3-15 TONS 15-30 TONS 30-50 TONS +50 TONS COOLERS (PER 12' TYPE II HOOD OR 12' PTN. OF HOOD)l 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 ETU USED APPLIANCE >400, 000 BTU ATR HANDLER < 10 , 000 CFM AIR HANDLER >10 , 000 CF 1 = AMOUNT x$10.00 = x 25.00 = x 10.00 = x 12.00 = x 15.00 = x 1.00 = x 12.00 ='i 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 = x 50.00 = x100.00 x 12.00 = x 15.00 = 12.00 NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE Spokane County Oepartraent of Building and Safety West 1303 Broadway Avenue Spokane, VVA 99250 (5d9) 456-3675 SUBTOTAL $ 12.00 PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE = $ 37.00