HomeMy WebLinkAbout1993, 01-20 Permit App: 93000292 Mechanical Fixtures36
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JOB STREET ADDRESS:
MECHANICAL PERMIT APPLICATION FORM Z a 3
Information Worksheet /
�1J
/1/5 /elta
CITY/STATE/ZIP: �.�1c'�' -> 4M 99,39/a maie-u)
OWNER:
PARCEL NUMBER:
531/-9487
PHONE NUMBER:
MAILING ADDRESS:
(Street)
CONTRACTOR:.. A&M QUALITY HEATING
E. i 2711111 T IRA /E.
. sPOKAN , WA 99218
MAILING ADDRESS:
(Street)
(City/State) (Zip)
LICENSE NUMBER: wt n pone: o1s:
PHONE NUMBER: 02A.une
(City/State)
MECHANICAL WORKSHEET/FEE SCHEDULE •
CH
OFFUNUNIITTS XUNIT
DESCRIPTION
DUCTWORK SYSTEM_
WOODSTOVE/INSERT
GAS WATER HEATER •
HEATING EQUIPMENT <100,000 BTU
HEATING EQUIPMENT +100,000 BTU
GAS PIPING (EA OUTLET)
REFRIG 1-100K BTU (NOT A/C OR .HEAT PUMP)
REFRIG 101-500M BTU
REFRIG 501-1,000M BTU
REFRIG 1,001-1,750K BTU
REFRIG +1,750M BTU
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
FANS
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
VENTILATING
EVAPORATIVE
0-3 TONS
3-15 TONS
15-30 TONS
30-50 TONS
+50 TONS
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
(Zip)
• 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 25.00m
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 •
1Sg
00
NOTE: I,U P E/,�1E IS $35.00
SIGNATURE it 5�
SUBTOTAL
$ c24/,OC
PLUS: PROCESSING FEE + $ 25.00
EQUALS: TOTAL PERMIT Q
FEE DUE $ 900
Spokane County Department of Buildingrand Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675