Loading...
1994, 09-22 Permit App: 94009293 Wood StoveJOB STREET ADDRESS: CITY/STATE/ZIP. OWNER: MAILING ADDRESS: MECHANICAL 15ERM1T APPLICATION FORM Information Worksheet �. 1321L, `4 L A4)- 2/1.. PARCEL NUMBER: PHONE NUMBER: : T' 706P (Street) (City/State) ,, 3 i '' j 1 (Zip) CONTRACTOR: idEtoaiLi LICENSE NUMBER:' 1 ,D )!‘)C1 - PHONE X JPHONE NUMBER: . _7 Y , . ,1 1 fid --,6)i' ; (Street) (.% (CityI tato) ' (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE= MAILING ADDRESS:✓ d. 21 „ 4,1L, DESCRIPTION ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) WOODSTOVE/INSERT GAS WATER HEATER GAS EQUIPMENT <100,000 STU.(INCLUDES GAS EQUIPMENT +100,000 BTU DUCTWORK) GAS PIPING (EA OUTLET) BOILER/REFRIG 1-100M BTU BOILER/REFRIG 101--500M;BTU BOILER/REFRIG 501-1,000M BTU BOILS /REFfIG 1,0001-1,750M 87U:k<: BOILER/REFRIG +1,750M BTU HEAT PUMP &. AIR CONOETIONEI~I`t)-S 'ON BEAT DUMP & 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 FVAPC•R VI IVE COOLERS TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) TYPE II HOOD CLOTHES DRYER RANGE GAS LOG MISCELLANEOUS (NOT COVERED ELSEWHERE= UNLISTED GAS APPLIANCE <400,000 BTU ULINSTED GAS APPLIANCE >400,000 BTU USED APPLIANCE <400,000 BTU USED APPLIANCE 700,000:BTU.'. AIR HANDLER <10,000 CFM AIR HANDLER :>10,000 CFM NOTE: MINIMUM PERMIT FEE IS $35.00 NUMBER OF UNITS X EACH UNIT = AMOUNT x 10.00 = x25.00 = x10.00 = x12.00 = x 15.00 = x 1.00 = X 12.00 = x 20.00 = x25.00 =- x 35.00 = x x 60.00 = X 12.00 = x20.00 = x 25.00 = x 35.00 = X 60.00 = X 10.00 = X 10.00 = x50.00 = X 10.00 = x 10.00 = x 10.00 = x 10.00 = x10.00 = X50.00 = xt M.od = X 50.00 = X100.00 = X12.00 = x15.00 = _ . _ SUBTOTAL $ .2.s; ep PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE _ $ SV -OO SIGNAruRE_-±`(�21JGSL/ -%- Y - Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675