1991, 11-19 Permit App: 91007964 Mechanical FixturesMECHANICAL PERMIT APPLICATION FORM
�I�nformation Work heet
JOB STREET ADDRESS: .��'`4 -U�(.`t/
CITY/STATE/ZIP:
ZIP�
: � G%A 990/I�ARCEL NUMBER:
OWNER: ea--
MAILING ADDRESS:
CONTRACTOR:
PHONE NUMBER: 9a - 4.57/17
(Street)
A&M QUALITY HEATING
E. 10TQTNDIANA AVE.
SPOKANE, WA 99216
MAILING ADDRESS:
(City/State) (Zip)
LICENSE NUMBER: AMQIAHRIQIN1
PHONE NUMBER:
(Street)
978-2100
(City/State)
(Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
OF UNITS UNIT
DESCRIPTION
DUCTWORK SYSTEM
WOODSTOVE/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
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
FANS
0-3 TONS
3-15 TONS
15-30 TONS
30-50 TONS
+50 TONS
EVAPORATIVE COOLERS
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
TYPE II HOOD
CLOTHES DRYER
RANGE
CAS 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
3
a AMOUNT
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 a
X 12.00 =
x 15.00 =
((J, OD
d .00
9 00
NOTE:
1 GNATU 1t 1.
MINIM PERMIT
S $75.00
SUBTOTAL
$ 25 o o
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE = $ 50.00
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675