1993, 04-08 Permit Application: 93002370 Gas Water Heater, Heating, PipingL\Soa1- 101
JOB STREET ADDRESS:
MECHANICAL PERMIT APPUCAT1ON FORM
Information Worksheet
4< 415-01
CITY /STATE/Z1P: 44Y7.fJ / lff/9 194/ PARCEL NUMBER:
OWNER: Z./ 47- Pi `211' /% PHONE NUMBER: 94 i- 1/1
MAILING ADDRESS:
(Street) (City /State) (2p)
CONTRACTOR: Heat Transfer Inc. UCENSENUMBER: Heatti -1881n
PHONE NUMBER: 482-2000
MAILING ADDRESS: N. 3003 Crestline Spokane, WA 99207
Pp)
DESCRIPTION
(Street) (City /State)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER
OF UNITS
ELECTRIC /DUCTWORK (SEPARATE SYSTEMS)
WOODS 'OVE/INSERT
GAS WATER HEATER
GAS EQUiPMENT<100,000 BTU (1NC UDE.
...... .... ..... ...........
GAS EQUIPMENT +100,000 BTU DUCTWORK)
rJ ?-'iP'iNG (CA OUTLET)
BOILER/REFRIG 1 -100M BTU
BOILERIREFRIG 1O1-500M`BTU__.,:':
BOILER/REFRIG 501- 1,000M BTU
BO:ILER/REFRIG 1:,4001. I,750M BT
BOILER/REFRIG +1,750M BTU
HEAT PUMP. &..AIR CONDITIONER,0
HEAT PUMP & AIR CONDITIONER 3 -15 TONS
........................................................................... ...............................
HEAT.PUMP. &:AIR C.ONDITIONER::15 -3O TC
HEAT PUMP & AIR CONDITIONER 30 -50 TONS
HEAT PUMP.&AIR.CONDITIONER; +50 :TONS..:.
VENTILATING FANS
EVAPORATIVE :C.00LERS.
.......................... .......
..................
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
TYPE 11 HOOD
CLOTHES DRYER
GAS LOG
MI SQELLANEOUS? (IVOTCOVERED: {I`LSEWHE# E ?f
UNUSTED GAS APPLIANCE <400,000 BTU
ULIN$TED GAS APPUANCE>40(
USED APPLIANCE <400,000 BTU
•
AIR HANDLER <10,000 CFM
!R'HANOLER >1 O L000 :CFM
XEACH
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 =
x 50.00 =
x100.00 =
x 12.00 =
x 15.00 =
= AMOUNT
/O.OD
, o�
,e19
NOTE: MINIMUM PERMIT FEE IS $35.00
SUBTOTAL
PLUS: PROCESSING FEE
EQUALS: TOTAL PERMIT
FEE DUE
$
$ 25.00
=$ 000
SIGNATURE ad 4fileAd-
Spokane County Division of Buildings
West 1026 Broadway Avenue Spokane, WA 99260 (509) 456 -3675
SITE ADDRESS: N 4524 ADAMS RD
PROJECT NUMBER: 93fD2370 PERMIT TYPES: ME
PERMIT USF: GAS WATER HEATER? HEATING EQUIPMENT, PIPING
DESCRIPTION INSPECTOR DATE RESULT
VOIDED /EXPIRED SITE ADDED ADDE RECORD 11/09/93 APPROVED