1992, 08-11 Permit App: 92005964 Mechanical FixturesJOB STREET ADDRESS:
CITY/STAT IP:
OWNER: _t 1-44
MECHANICAL PERMIT APPLICATION FORM
Information--pp:6Worksheet
&.; cD CA-y\
PARCEL NUMBER:
PHONE NUMBER:
MAILING ADDRESS:
(City/State) (Zip)
CONTRACTOR: Heat Transfer Inc. LICENSE NUMBER: H e a t t i -18 8 1 n
PHONE NUMBER: 328-3400
MAILING ADDRESS: N. 1008 Ruby Spokane, WA 99202
(Street)
(Street) (City/State)
MECHANICAL WORKSHEET/FEE SCHEDULE
DESCRIPTION
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
W O.ODS. N ERT><>
GAS WATER HEATER
GAS EO JIPMME T 4a t ►O STIJ (INC:I UI ESs< _
GAS EQUIPMENT +100,000 BTU DUCTWORK)
»::;>::.::::.
BOILER/REFRIG 1-100M BTU
B`.:. LER JREF IG:101-;.....;:..;-::
•OLEA{.;;;::...01�500M•
13TU
BOILER/REFRIG 501-1,000M BTU
:>�i'_::it��:.i•.:..: .::,:::�:s:Fry>:.,:.:>:' :,,,,...>,:::: �,:
O ER/REFRIG 1,0001 1,750M
BOILER/REFRIG +1,750M BTU
HEAT PUMP:&;;AIR;; CONDITIONER 0.-3:TONS
HEAT PUMP & AIR CONDITIONER 3-15 TONS
;HEAT, PUMP: &: AIR. CONDITI ON ER 1,5.=30 _TONS;
HEAT PUMP & AIR CONDITIONER 30-50 TONS
HEAT'PUMP _& AIR CONDITIONER +50: TONS:<
VENTILATING FANS
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
CLOTHES DRYER
RANGE>><>»`:'<>`>
GAS LOG
MISCP NEOUS _ :;. Q f3•RED• ELsEwI A•
E <>>
UNLISTED GAS APPLIANCE <400,000 BTU
ULIN.STE GAS APPLIANCE: 40•0'000:>BTU.<<<<<<><
USED APPLIANCE <400,000 BTU
AIR HANDLER <10,000 CFM
NOTE: MINIMUM PERMIT FEE IS $35.00
(Zip)
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
x 10.00 =
x 25.00 =
x10.00 =
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 =
x60.00 =
x 10.00 =
x 10.00 =
x 50.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x10.00 IR ECEIVFD
x 50.00 =
x100.00= AUfl
/C,c c-
It arc,
1.1 19y=
x 50.00 =
X100.00 'LDid`
x12.00 =
L' cd W it -t I Y
x 15.00 =
SUBTOTAL $ 9-02..7
PLUS: PROCESSING FEE + $ 25.00
EQUALS: TOTAL PERMIT t j 1/ p
FEE DUE = $ y
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675