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HomeMy WebLinkAbout1992, 06-17 Permit App: 92004400 Water HeaterJOB STREET ADDRESS: n 2:- 4 400 MECHANICAL PERMIT APPLICATION FORM formation rkshee (0 S r E ' g P_o& CITY/STA ZIP: t��; ' •' ?r 2I 2— PARCEL NUMBER: OWNER: 2 PHONE NUMBER: /2T-- E:13( MAILING ADDRESS: — GL Yki (Street) CONTRACTOR: A&M QUALITY HEATING rifiVrnotiwavE. MAILING ADDRESS: SPOKANE, WA 99216 (City/Stag) (Zip) LICENSE NUMBER: 93si PHONE NUMBER: (Street) MECHANICAL DESCRIPTION 92$-2_00 (City/State) (Zip) WORKSHEET/PEECC SCHEDULE ESHAnil OF UNITS XUNIT 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 aR HEAT REFRIG 101-500M BTU REFRIG 501-1,000M BTU REFRIG 1,001-1,75014 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 EVAPORATIVE AIR CONDITIONER AIR CONDITIONER AIR CONDITIONER AIR CONDITIONER AIR CONDITIONER FANS 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 = 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 = NOTE: MINI SIGNATURE UTERMIT FEE IS $35.00 4 SUBTOTAL $ [0.00 PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE = $ 3S • ©b Spokane County Department of Buildingiand Safety West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675