1991, 11-14 Permit App: 91007842 Mechanical Fixtures0,0553--(33\
JOB STREET
q l - -1 aar.
MECHANICAL PERMIT APPLICATION FORM
Information Worksheet
ADDRESS: tS0. 3/5 69a2A.A..)
CITY/STATE/ZIP:Blite,rtaCite1 will 9/0, /6 PARCEL NUMBER:
OWNER:
MAILING ADD
CONTRACTOR:
ESS:
U✓B,141ubriv PHONE NUMBER: 9AYr- 96'FO_.
(Street)
A&M QUALITY HEATING
E. 1!T61NDJANAAYE.
SPOKANE, WA 99216
MAILING ADDRESS:
(City/State) (Zip)
LICENSE NUMBER: AMOJIAHR199N1
PHONE NUMBER: 998-2100
(Street)
(City/State)
(Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
DNUMBER X EACH
DESCRIPTION
OF UNITS UNIT
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
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
- 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 -
x 12.00 -
X 15.00 =
/a.,ca
2.00
NOTE: 9N, MU. PERM T FEE IS $35.00
S ICHA'1'Ul(E
SUBTOTAL
$ /U:Do
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE = s 39, ba
Spokane County Department of Building'and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675