Loading...
1989, 06-13 Permit App: 89001729 ACJOB STREET ADDRESS: CITY/STATE/ZIP: MECHANICAL PERMIT APPLICATION FORM Informa%ion Worksheet S 1911 SIN RD ALE WA 99037 OWNER: ROD SGINIEEM LLER MAILING ADDRESS : S 1911 CCNKL N RD CONTRACTOR: PARCEL NUMBER: PHONE NUMBER: 922-2021 ,(Street) AIR I1 1I 4 HEATING & REFRIGERATION MAILING ADDRESS: E 1807 FRAWLS VERADALE WA 99037 (City/State) (Zip) LICENSE NUMBER: AIIU EI#161 JW PHONE NUMBER: 487-4328 (Street) MECHANICAL DESCRIPTION WORKSHEET/FEE SPOKANE WA 99207 (City/State) SCHEDULE NUMBER OF UNITS X EACH UNIT = AMOUNT (Zip) DUCTWORK SYSTEM WOODSTOVE/INSERT GAS WATER HEATER HEATING EQUIPMENT <100,000 BTU HEATING EQUIPMENT +100,000 BTU GAS PIPING (1 - 4 OUTLETS) GAS PIPING (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 0-3 TONS _ AIR CONDITIONER 3-15 TONS _ AIR CONDITIONER 15-30 TONS AIR CONDITIONER 30-50 TONS AIR CONDITIONER +50 TONS - _ 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 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 = 20.00 NOTE: mital9m PERMIT FEE I8 $35.00 SIGNATURE :,�f'� Spokane County Department of Building and Safety West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 SUBTOTAL 20.W PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE 45.00