1993, 09-29 Permit App: 93009026 Furnace(A6i ociuo
MECHANICAL PERMIT APPLICATION FORM
Ihformation Worksheet
JOB STREET ADDRESS: 0 / )\/• ie.er•
CITY/STATE/ZIP: V ,11,-Trt-ce,a_ tQ )a 77 o PARCEL NUMBER:
OWNER: 1 PHONE NUMBER: 70- 6
crozG
Z503
MAILING AD� SS:
(Street) , (City/State) (Zip)
CONTRACTOR:Al trrC2 AP- 0 --tc-A-7 LICENSE NUMBER: A1)0 RC VIA 0 761/
PHONE NUMBER•11-- 1// 7
MAILING ADDRESS:.A 5 / ? i ,,,,,f S ' p er--4-e2-1,-( _ f:(14, F.,: 2 7,..9
(Street) 6' (City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
DESCRIPTION
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS
OtiOttOtigtOktingiggenry
GAS WATER HEATER
;O:k*g.01041gOt
GAS EQUIPMENT +100,000 BTU DUCTWOR
(A PIPING EA OU1tET
BOILER/REFRIG 1-100M BTU
BOILEFI/REFRIG 501-1,000M BTU
•
BOILER/REFRIG +1,750M BTU
HEAT PUMP & AtR CONDmOI'ER 0-3 TOWS
HEAT PUMP & AIR CONDITIONER 3-15 TONS
tig4f pOmp:::$,:'AfkootqfpqN.01:11'.
HEAT PUMP & AIR CONDITIONER 30-50 TONS
HEAT PUMP & AIP CONDITIONER +50 TONS
VENTILATING FANS
EvApQRATw00%..
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
:yypg1 HOOD
CLOTHES DRYER
RANGE
GAS LOG
MISCELLAIN.1EOU:S.:Mr ELSEWHR
UNLISTED GAS APPLIANCE <400,000 BTU
I:LILINSTED GAS APPLIANC >400,000 BTLJ
USED APPLIANCE <400,000 BTU
USED APPL.AUCE >400,000 BTU
AIR HANDLER <10,000 CFM
AIR,iHANDLER*10w, •
NOTE: MINIMUM PERMIT FEE IS $35.00
West 1301 t
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
x10.00 =
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 =
x25.00 =
x 35.00 =
x 60.00 =
x10.00 =
x10.00 =
x 50.00 =
x10.00 =
x10.00 =
x10.00 =
x10.00 =
x 10.00 =
x 50b0 =
x100.00 =
x50.00 =
x100.00 =
x12.00 =
x 15.00 =
J, rh.
•
SUBTOTAL0
25.00
PLUS: PROCESSING FEE
EQUALS: TOTAL PERMIT
FEE DUE
Spokane County Division of Buildings
'way Avenue Spokane, WA 99260 (509) 456-3675
OaCcONA
f*i
- DETACH 70 DISPLA. CERTIFICATE -)
DEPARTMENT OF LABOR AND INDUSTRIES
THIS CERTIFIES THAT THE PERSON NAMED HEREON IS REGISTERED AS PROVIDED OV LAW AS A
PC-GISTRA".1M NUMBER
EXPIRE3Air
06/21/95.
. . I
414ORCO HEATIC At CO) INC
01.03 E 'Tr 1-*+,
SPOi.AN't. A 9 -; 2121351
STATE OF WASHINGTON
- -
t_ DETC.H TO IYSIA.Av CSRnFICATIF
5%.
R25-052-20: ,34oZ