1993, 01-11 Permit App: 93000120 Mechanical FixturesS561,02 J5
JOB STREET ADDRESS:
CITY/STATE/ZIP:
rtwuwIuu MIN H *mailman num
Intossatics Var . t
`'IL
r.- , 44)a 99‘A ) PARCEL NUMBER:
OWNER: Fd U72L2
MAILING ADDRESS:
(Street)
PHONE NUMBER: 9 O 3V. 7
(City/Stat.) (Zip)
CONTRACTOR: PS A41--'90 g --G 4e- MA._.• -4 LICENSE NUMBER: R - - t t o Q Z_
PHONE NUMBER: qZt - S-ct o c,
MAILING ADDRESS: e 1\ Su.. 3. lF-.r%_a \AL4 4.42.04,
2.0
(Street) (Ci y/Stat.) (Zip)
MECHANICAL WORKSHEET/FEE SCSEDULE
NUMBER X EACH
OF UNITS UNIT
DESCRIPTION
AMOUNT
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER
HEATING EQUIPMENT <100,000 BTU
HEATING EQUIPMENT +100,000 BTU
GAS PIPING (1 - 4 OUTLETS)
GAS PI?ING (5 OR MORE. EACH:)
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 HOOD1
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
x$10.00 =
x 25.00 =
x 10.00 =
x 12.00 =
x 15.00 =
x 4.00 =
x 1.00 =
x 12.00 =
x 20.00 =
x 25.00 =
x 35.00 =
x 60.00 =
x 12.00 =
x 20.00 =
x 25.00 =
x 35.00- =
x 60.00 =
x 10.00 =
x 10.00 =
x 50.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 50.00 =
x100.00
x 50.00 =
x100.00
x 12.00 =
X 15.00 =
/0.00
X2;°0
2 cuc,
MOTs: • • �� . , T ZEE {$ $35.00
SIGNATURE
SUBTOTAL
PLUS: PROCESSING
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE -
t779,6
Spokane County D.oadt.Nt of moi! and
-moor - -.«.