1991, 11-25 Permit App: 91008184 Mechanical FixturesJOB STREET ADDRESS:
ECHANICia PERMIT APPLICATION FORM
Information Worksheet
2506 S. Bolivar'. Ct:
CITY/STATE/ZIP: Veradale. WA 9907 PARC:L NUMBER:
OWNER: Brian Puryear
MAILING ADDRESS:
(Street)
CONTRACTOR:Allied Heatina. Inc.
MAILING ADDRESS: 9309 E. Trent
(City/State)
LICENSE NUMBER: 1a1► •TFT * n on y..
Zip)
PHONS.NUMBER; X28-8252
Spokane, WA 99206
(Street)
(City/State) (Zip)
MECHANICAL
DESCRIPTION
WORKSHEET/FEE SCHEDULE
NUMBER X EACH
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 & AIR CONDITIONER 0-3 TONS
HEAT PUMP & AIR CONDITIONER 3-15 TONS'
HEAT PUMP i AIR CONDITIONER 15-30 TONS
HEAT PUMP 6 AIR CONDITIONER 30-50 TONS
HEAT PUMP & AIR CONDITIONER +50 TONS
VENTILATING FANS
EVAPORATIVE COOLERS
TYPE I HOOD (PER 12' OR 12'
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
.r
PTN. OF' HOOD)
= AMOUNT:
)410.00 =
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 =
K' 10.98 =
x50.0'0=
x100.00 =
x 50.00 =
x100.00 =
x 12.00 =
x 15.00 =
ov
1 o6
NOTE: :MIN UM PERMIT FEE I8 $35.00
SIGNATURE ,c
SUBTOTAL
3,
EQUALS: TOTAL PERMIT
FEE DUE
Spokane County Department of Buiidin and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675