1993, 03-05 Permit App: 93001271 Mechanical FixturesJOB STREET ADDRESS:
CITY/STATE/ZIP:
r7
MECHANICAL PERMIT APPLICATION FORM
+. Informatiion Worksheet
e- ^( - /11°W A&��f'l�i'Lc�w'.✓
/VA 990266 PARCEL NUMBER:
OWNER: T.L/r2) /V D
MAILING ADDRESS:
CONTRACTOR:
PHONE NUMBER: 9024-3�sa
(Street)
A&M QUALITY HEATING
E. 1 nTITM1)U)ANA AVE.
SPOKANE; WA 99216
MAILING ADDRESS:
(City/State) (Zip)
LICENSE NUMBER:
PHONE NUMBER:
(Street)
MECHANICAL
DESCRIPTION
ANQI IAHR 1 9 IN 1
928-7100
(City/State) (Zip)
WORKSHEET/FEE SCHEDULE
MNERXEIHONS [C
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
0-3 TONS
3-15 TONS
15-30 TONS
30-50 TONS
+50 TONS
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
VENTILATING
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
FANS
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 <10,000 CFM
AIR HANDLER >10,000 CFM
- AMOUNT
•x$10.00 se
x 25.00 Ili
x 10.00 a
x 12.00.a
x 15.00 a
x 1.00. a
x 12.00,-
x 20.00 a
x 25.00.-
x 35.00.a
x 60.00 a
x 12.00 n
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 a
x 12.00 m
x 15.00 e
ilk
/U.YIA7
Q. 1.0
/D, nn
NOTE: MIMUM PERMIT FEE IS $35.00
SIGNATURE
SUBTOTAL
PLUS: PROCESSING FEE + $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE = $ 47 oo
Spokane County Department of Building:and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675