1991, 06-18 Permit App: 91003404 Furnace, PipingJOB STREET ADDRESS:
CITY/STATE/ZIP:
OWNER:
MAILING ADD S :
MECHANICAL PERMIT APPLICATION FORM
Information
133tO
CONTRACTOR:
MAILING ADDRESS:
Worksheet.
'41.; •
CEL NUMBER:
PHONE NUMBER:
(Street)
(City/State) (Zip)
LICENSE NUMBER: /girioo91-/- /93.0
PHONE NUMBER: 9ag--.7/00
(Street)
(City/State)
(Zip)
MECHANICAL
DESCRIPTION
WORKSHE
T/FEE SCHEDULE
NUMBER
OF UNITS
DUCTWORK SYSTEM
WOODSTOVE/INSERT,
GAS WATER HEATER
HEATING EQUIPMENT.<100,000 BTU
HEATING EQUIPMENT +100,000.BW.
GAS PIPINGAEA,OUTLETy
REFRIG:1-100M BTU (NOT A/C. OR,HEATI)UMP)
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 <16,000 CFM
AIR HANDLER >10,000 CFM
XufgH
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,6000 =
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
,2.40
02 ,00
NOTE:
SIGNATURE
SUBTOTAL
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
= $ 3?"
Spokane County Department of Building_ and Sa
West 1303 Broadway Avenue Spokane, WA 99260
456-3675