1992, 02-06 Permit App: 92000679 Mechanical FixturesMECHANICAL PERMIT APDLICAT1ON FOAMC%i1
Information Work9ieet . (7)en
JOB STREET ADDRESS: S /e -e)
CITY/STATE/ZIP: ...SPO 49A -IE 1/V'4s N ac PARCEL NUMBER:
OWNER: Di;tI? 2. .) /60 Z._ PHONE N;JMBER: 2Ory
MAILING ADDRESS: .Si9-rn
CONTRACTOR:! _/
6AS
(Street) (City/State) (Zip)
. %&2 1i d--P/372LICENSE NUMBER. /4/ 6fr-05R2/0o
PHONE NUMBER: Cta-... �7
MAILING ADDRESS:Ai, 7/ / ;9�Z6� (Zse (- i 2,'- L
(Street) (City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
DESCRIPTION
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
WOODSTOVE/INSERT
GAS WATER HEATER
GAS EQUIPMENT <100,000 BTU (INCLUDES
GAS EQUIPMENT +100,000 BTU DUCTWORK)
GAS PIPING (EA:OUTLET)
BOILER/REFRIG 1-100M BTU
BOILER/REFRIG101- 500M BTU
BOILER/REFRIG 501-1,000M BTU
BOILER/REFRIG 1,0001-1 ,750M BTU
BOILER/REFRIG +1,750M BTU
HEAT PUMP & AIR: CONDITIONER 0--3 TONS
HEAT PUMP & AIR CONDITIONER 3-15 TONS
HEAT PUMP::&: AIR CONDITIONER `1530 TONS
HEAT PUMP & AIR CONDITIONER 30-50 TONS
HEAT: PUMP &;AIR CONDITIONER;+50 TONS
VENTILATING FANS
EVAPORATIVECOOLERS>.
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
TYPE 1 HOQt
CLOTHES DRYER
RANGE
GAS LOG
MISCELLANEOUS (NOT COVERED ELSEWHERE
.:...: -
UNLISTED GAS APPLIANCE <400,000 BTU
ULINSTED GAS APPLIANCE>400,000 BTU
USED APPLIANCE <400,000 BTU
USED APPLIANCE00,000 BTU
AIR HANDLER <10,000 CFM
AIR HANDLER >10,000 CFM
NOTE: MINIMUM PERMIT FEE IS $35.00
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
x 10.00 =
x 25.00 =
x 10.00 =
x 12.00 =
4-I
i0
a /
ti,2'r-ev i
ik
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 =
x50.00 =
x 10.00 =
X 10.00 =
X 10.00 =
X 10.00 =
x10.00 =
x 50.00 =
x100.00 =
x 50.00 =
x100.00 =
x 12.00 =
x 15.00 =
SUBTOTAL
$ ma, ad
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
= $ 0 ( 0
SIGNATURE
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675