1992, 09-23 Permit App: 92007956 Mechanical FixturesL1 S (4 .. 1-t05 4- 5 16 -k
`` c k-0 \Ie_SO-cis&. \'MECHINICAL PERMIT AFP.LICATION FORM �o�" 1156
11 Intor.-natici Works eet
JOB STREET ADDRESS: 1 2 2.1 N_ Bp 4 C _ ‘.5-\
CITY/STATE/ZIP:
.5-
CITY/STATE/ZIP: Spokane, WA 99216 PARCEL NUMBER:
OWNER: Samuel Neil PHONE NUMBER: 928-3421
MAILING ADDRESS:
(Street) (City/State) S UNLO 110 7 J 6 (Zip)
CONTRACTOR: Inland Heating & Cooling LICENSE NUMBER: SUNLOI101JB
PHONE NUMBER: 455-4147
MAILING ADDRESS: 3655 Govt. Way Coeur d'Alene, ID 83814
DESCRIPTION
(Street)
(CitylState) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
WOO TOVEI i NSEFiT •
GAS WATER HEATER
GAS`EQtJ
iPIiAENT:-:<100;000�BTU;(INCLUDES:.
GAS EQUIPMENT+100,000 BTU DUCTWORK)
BOILER/REFRIG 1--100M BTU
BOILER/REFRIG 501-1,4411M BTU
.$OILER1RE ti010.00T "f y SC?M BTU
...,lv:.ii.,.•..h:^Mww.Sf.nw4..+::ri7.::.. n.,i�T%..{�.:K�:.:,'.:.::::::::::::..
BOI_LER/REFRIG +1,750M BTU
HEAT PUMP & AIR CONDITIONER 3-15 TONS
HEAT PUMP & AIR CONDITIONER 30-50 TONS
"•-
-VENTILATING
•VENTILATING FANS
EVAPORATIV'OLERS
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
TY07:42. _0 71; .
CLOTHES DRYER
FiANGE
GAS LOG
MISCELLANEOUS (PLOT COVER ELSEWHERE
UNLISTED GAS APP'JANCE <400.000 Stu
UUNST@ GAS APPLINCE >400.000 STU
USED APPLIANCE <400.1X0 STU
USED APPLU CE )400.000 BTU
Na MANOLER <10.000 CFIA
AfR HANDLER >10.000 CFU
1
1
2
x10.00 =
x 25.00 =
x 10.00 =
x 12.00 =
x 15.03 =
x 1.00 =
x12.00 =
x20.00 =
x 25.00 =
x35.00 =
x60.00 =
x 12.00 =
x 20.00 =
x 25.00 =
x 35.00 =
x 60.00 =
x 10.00 =
x 10.00 =
x50.00 =
x 10.00 =
X 10.00 IM
X 10.00 =
x 10.00 It
x 10.00 =
x 50.00 az
x100.00
X 50.00 ..
x100.00 •
x 12.00 =
X 15.00 =
10.00
17.00
2.00
NOTE: MINIMUM PERMIT FEE IS 535.00
SIGNATURE
SUBTOTAL
PLUS: PROCESSING FEE
21).00
+ 5 25.00
EQUALS: TOTAL PERMIT
FEE DUE '
49.00
=S
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675