Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
1993, 04-13 Permit App: 93002413 Mechanical Fixtures
ic) L' MECHANICAL PERMIT APPLICATION FORM `� `(' U,N`i�P�_ Information Worksheet JOB STREET ADDRESS: LI C Z ►v G Off. fR'` ` ( S l CITY/STATE/ZIP: c et, r --mitt°/ w 4 e Gid t G PARCEL NUMBER: OWNER: ,A -C'‘..) . i290,c 14' 1+A. I=--. - PHONE NUMBER: MAILING ADDRESS: a fPY`-C_ ,` (Street) i • CONTRACTOR: -- I `= ik) k< (City/State) (Zip) LICENSE NUMBER: 4-&D I I Ir N te. (2 PHONE NUMBER: MAILING ADDRESS: a f 3 %2 t I`� u Q.' 10 L -A r2d (;%C.N. ' 99Oca (Street) (City/State) - Zip) MECHANICAL WORKSHEET/FEE SCHEDULE DESCRIPTION ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) • ncnntr�ztntfil �r<<.:: .:::.: .,w:}•{.. {{: v .w, ::•:: 4:.:..n r,::::; ::.}.}••; nh+ v.}::?�x{}v:4.{.. v:-.ryi4{}i i{i� ii::{{•:t; GAS WATER HEATER }}}}}>}}xry}}x,�x.::}:Nf,.-.:��.,:.,,::rr:n,v::.�: GAS EQUIPMENT +100,000 BTU DUCTWORK) •. r•:c2}rF';,:•3SgT:. �.'t<••r�•'••+.} '';�'.r :}::r :4r:.vn:•.::iFvvry:?{?::•:::: xry: :n•.vNxw:.'`•: • .:v:•}.t.•}: t•.ry:•: :Wiv{::{vx{ '3� 'xv ''V:G{.?G:iri' BOILER/REFRIG 1-100M BTU • �•' v y :$f<fS �i�`n•C444i}`i'+A` �} .'• S:.••r.?{. ... %•:.. ... ....:. •.:•: '}:•...:nryx. w?naw{::2G%:.a:.:::v::v}}x::•:b..,::orAt:•::sS:•:^i�Ei�w•xWx,4;:5}Srkft{.?•:soi:8:rdi: BOILER/REFRIG 501-1,000M'BTU- 1•%niY::: Qti%14L'(?S:i?F.i"t'}:►';l:Xr!;p7' :!/W'•1<:-''F`"•F`Y��}: Y.. BOILER/REFRIG +1,750M BTU ri:t".�w..:r•+.w:{a�;•:.;}. }kv:}}:•r:.i:•}i}:{{Lv. ...{ii:{ •.. .wv:Lx' v n.x HEAT PUMP & AIR CONDITIONER 3-15 TONS vnri}v.n w.4±.unnv::: rl •.v:: t{rn}v{'nv:::: n:YVv' M'?;`";!•}'..: }} v...:., HEAT PUMP. & AIR CONDITIONER 30-50 TONS y:+N.•'rw:�+l.4x::{r: rr{+rru::?r::w::x.+.x:�yr: rr: x{x{{.!e{:{�:rryr. w `�:' ;ry;:^. C • :way. ry .:.,.n nn•:::}:::: >•n w..n: w:%%i{r:.nw�,: VENTILATING FANS x•.}:vrxp:.•ryrr {.vnv. {wvr�r':F'"":'•,'r••1. y� f; i`�. �.4..v ••: ••}: r...: � F{: r -{H •4n ,,�'•:iij:. :{� '�.''fv�:• / n{'{. -Y: -:}{{}•iii::•..;. •.a ��/y } irr} g... •ka:Kt}!}fii. 4 : K. '�:i'4f i•::v':: '} xx{c{:::•:.n•::..:.vn...arn•ar::?..::;,'w',�.•.r.N..cx.•;,;a.•r.:{ww{L::%x{a{{::,x22{,.a`.o% °:at•;o'�}'7A3:d•:;?w •:�eo:F::•:aur} TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) - n.:.}::}::..•:?^'!?Y'v :'r?:N'f:•`.;s:�;`::`ist:c;;y:Y}v;:::.%:r°:2f'�:':c�C`rs{:;:r..}.,,.:,:.:<.'.::'%;`;":-`::` •tic;: r,.{:::;:i' {:G:?::;}.t:cx`.:•} .•:.•;:: nf?.}{nxCr:};;:r}^••kr:}::.\.'.:::c21•'•r..•K.:<:x::}:+::::{::::::: Tcaar::::..r:..:::?:::.:.:{:.:::,}xaxwcx:�. an...•::......:c:,�::.s;:r:•;:::::..{.... .n4{:�$:o:o-ra.•:}:n......: - CLOTHES DRYER • ::4? •%%iii Vii. } iii}:'iti:s i?�?::ii } ti i'r: ;r,'•'::'::'' r i:.v.'i i::::::{ :vi: L+?-:j!i:$i>}".'•:f Qri::::n}•v\y.{:: ry}v?S: n:: :::?nf.{: {:::::i}}r:} •j:.U,.. }..:: v:•.}ir:}Y.-}:n: w:::}v:vvW-:':::a•:v:.W.{v'tw:.:::?:vr:.a•:}v...} GAS LOG UNLISTED GAS APPLIANCE <400,000 BTU t:• #N TEC S>APPI: IAN•C OO t)O USED APPLIANCE <400,000 BTU AIR HANDLER <10,000 CFM NOTE: MINIMUM PERMIT FEE IS $35.00 r SIGNATURE NUMBER OF UNITS X EACH UNIT = AMOUNT x 10.00 = x 25.00 = x 10.00 = /0 --- / x 12.00 = / 2_-", x15.00 = -2_ x 1.00 = r•� x 12.00 = ' x 20.00 = x 25.00 = x 35.00 = x60.00= x 12.00 = x 20.00 = x 25.00 = x 35.00 = x 60.00 = x 10.00 = x10.00 = x 50.00 = x 10.00 = x 10.00 = x10.00 = x 10.00 = {-/ f x10.00 = x50.00 = x100.00 = x 50.00 = x100.00 = x 12.00 = x 15.00 = SUBTOTAL $ 2,4 PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE =$ `(a'' Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675