Loading...
1992, 01-13 Permit App: 92000205 Mechanical FixturesMECHANICALJPERMRFf AP -PLICATION FORM • - ;`I-/;, Information Worksheet JOB STREET ADDRESS: /4/// 7 `g .J;6-1?1- ` CITY/STATE/ZIR' .57/461k$ j//f/ '?f ( PARCEL NUMBER: OWNER:6 C VJ' Nato/rt.-5 PHONE NUMBER: ' MAILING ADDRESS: c rig ek'1 r7 (Street) .' CONTRACTOR: Heat Transfer Inc;' MAILING ADDRESS: DESCRIPTION ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) ;WOODSTOVE/INSERT GAS WATER HEATER GAS EQUIPIy1ENT tt1U0,000 BTU (INCLUDES' GAS EQUIPMENT+100,000 BTU DUCTWORK) GAS PIPING (EA BOILER/REFRIG 1-100M BTU BOILER/REFRIG 101 ;500M BTU ,I' BOILER/REFRIG 501-1,000M BTU BOILER/REFRIG 1 0001, 1,750Mv1 BTU BOILER/REFRIG +1,750M BTU HEAT PUMP.& AIR CONDITIONER 0 3 TONS ;' HEAT PUMP & AIR CONDITIONER 3-15 TONS HEAT PUMP & AIR; CONDITIONER 15-30 TONS HEAT PUMP & AIR CONDITIONER 30-50 TONS HEAT PUMP AIR CONDITIONER +50 TONS VENTILATING FANS EVAPORATIVE COOLERS TYPE 1 HOOD (PER 12 OR 12' PTN. OF TYPE II:HOOD CLOTHES DRYER RANGE GAS LOG MISCELLANEOUS (NOTCOVERED ELSEWHERE UNLISTED GAS APPLIANCE <400,000 BTU ULINSTED GAS APPLIANCE>900 000 BTU USED APPLIANCE <400,000 BTU USED 4PPLIANCE`>d001000 B7.0 AIR HANDLER <10,000 CFM AIR"HANDLER >10 Ooo CFM 1008 Ruby (Street) (City/State) ' LICENSE NUMBER: PHONE NUMBER: MECHANICAL WORK NOTE: MINIMUM PERMIT FEE IS $35.00, SIGNATURE R`2 -j9ex? (Zip) Heatti-1881n 328-3400 Spokane, WA (City/State) • 99202 (Zip) NUMBER OF UNITS X EACH UNIT = AMOUNT x 10.00 = x 25.00 = x 10.00 = / te /O'er / x 12.00 = x 15.00 = x 1.00 = x 12.00 = x20.00 = x25.00 = x 35.00 = x60.00 = 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 = x10.00 = x 10.00 = x 50.00 = x100.00 = x50.00= x100.00 = x 12.00 = x 15.00 = /°2 .`11:5. - 3 a� 7 /e) SUBTOTAL $ re PLUS: PROCESSING FEE + $ 25.00' EQUALS: TOTAL PERMIT FEE DUE /� =$ //)U. Spokane County Division of Buildings JAN 1 0 1992 West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 � 2--