1991, 04-17 Permit App: 91001869 Mechanical FixturesMECHANICAL PERMIT 'k 'LICATIDN FORM •1 1]) �
Information Worksheet l ��
JOB STREET ADDRESS: if:-.7-F(///g
,vl�
CITY/STATE/ZIP: jtec2 echo ids /L.
4 PARCEL NUMBER: f f_55/ -?o
OWNER: -4:a.-4-c, C
MAILING ADDRESS:
CONTRACTOR:
(Street)
AIR DESIGN, INC.
MAILING ADDRESS: E 1815 FRANCIS
(Street)
PHONE NUMBER: / X - 0 / 6 22--
/1-1 ecce x vc_ee, fe2/f 99‘)/e,
(City/State) (Zip)
LICENSE NUMBER: AIRDEI*161JW
PHONE NUMBER: 487-4328
SPOKANE WA 99207
(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 & AIR CONDITIONER
HEAT PUMP & AIR CONDITIONER
HEAT PUMP & AIR CONDITIONER
HEAT PUMP & AIR CONDITIONER
HEAT PUMP & AIR CONDITIONER
VENTILATING 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.
TYPE II HOOD
CLOTHES DRYER
RANGE
GAS LOG.
OF HOOD)
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 -re,
•oo
o0
NOTE:MJI�NIMUM PERMIT FEE IS $35.00
SIGNATURE� //1/k- P £a4"
Spokane County Department of Building and Safety
•
West 1303 Broadway Avenue Spokane, WA 9D260 (509) 456-3675
SUBTOTAL
$ STT ad
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE