1992, 11-06 Permit App: 92009825 Mechanical FixturesS
Beac \ • 0 ‘0 ypec_ Go-, f7,)\ MECHANICAL PERMIT APRUCATION FORM 92- 9s25 ) (a/
L-5
JOB STREET ADDRESS:
CITY/STATE/ZIP: PP A 1-2 PARCEL NUMBER:
OWNER: DA n4 "1,Arlt orque PHONE NUMBER: 535' b9J
MAILING ADDRESS:
Informatiop Worisheet
15032)
S. I --/o A titeybe,A
(Street)
CONTRACTOR: Heat Transfer Inc.
MAILING ADDRESS: N. 1008 Ruby
(City/State)
LICENSE NUMBER:
PHONE NUMBER: 328-3400
Spokane, WA 99202
(Zip)
Heatti-1881n
(Street)
(City/State)
MECHANICAL WORKSHEET/FEE SCHEDULE
DESCRIPTION
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
-W000STOVE/INSERT -:
GAS WATER HEATER
A.SiEcitifFMENZiOgo;cpc,STA:00Q.()1inainig!!:,
GAS EQUIPMENT +100,000 BTU DUCTWOK),-:
GAS PIPING (EA OUTLE1J
BOILER/REFRIG 1-100M BTU
iabillEk/Aakt16,1Vt-tobtWaft:Cf:,•,,,,E02;m?.s;:imbm
BOILER/REFRIG 501-1,000M BTU
t0lLER/FEFE1101-i0001417,750fkBTL111,,SOMMelt
BOILER/REFRIG +1,750M BTU
HEATPUMP & AIR CONDITIONER 0-3 TONS::
HEAT PUMP & AIR CONDITIONER 3-15 TONS
EATEpume:AwRjcpNpifjoNE9,:45;?oiToNs,,i;i,!-gum!
HEAT PUMP & AIR CONDITIONER 30-50 TONS
:;.HEA1rptoe...*At9i2Norip2NEITEq:70Nsamilasm
VENTILATING FANS
EVAPORATIVE COOLERS
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
TYPE -IL HOOD..• •••••••:•::„:„.„-••,
CLOTHES DRYER
GAS LOG
mtsottpWcoorooTroffotbingthooitgam
UNLISTED GAS APPLIANCE <400,000 BTU
ULINSTED:GASAPPLIANCE5;40000013TU'""'""'"
USED APPUANCE <400,000 BTU
USED APPUANCE>400000 BTU
AIR HANDLER <10,000 CFM
W'Ffit•IANDEER*ft/1000:10FMEN:Mang,§i12,EINIF
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE
(Zip)
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
x10.00 =
x 25.00 =
x 10.00 =
x 12.00 =
x 15.00 7
x 1.00 =
x 12.00 =
x 20.00 =
x25.00 =
x 35.00 =
x 60.00 =
x 12.00 =
x20.00 =
• x 25.00 =
x 35.00 =
x 60.00 =
x10.00 =
x10.00 =
x50.00 =
x10.00 =
x10.00 =
x10.00 =
x10.00 =
x 10.00 =
x50.00 =
i
/0:00
I :•
I ; .iliTh
=7 .CD(Th
x100.00 =
x50.00
x100.00 =
x 12.00 =
x 15.00 =
SUBTOTAL
$ n2 q. co
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
=$ •0
Spokan County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675