1992, 09-17 Permit App: 92007583 Mechanical FixturesMECHANICAL PERMIT APPLICATION FORM
Information Worksheet
JOB STREET ADDRESS: E. 1 411 7..Cataldo
CITY/STATE/ZIP: Spokane, Wn. PARCEL NUMBER:
OWNER: Bill Kinnet PHONE NUMBER:
MAILING ADDRESS: Same
cla _1583
22?`)
SMITHS (City/State)
CONTRACTOR: r. E. 102 NORA LICENSE NUMBER:
CrOKANE, WA 9a[u/
(509) 328-4431 PHONE NUMBER:
MAILING ADDRESS: WAYNESH258NI
(Zip)
(Street) (City/State)
MECHANICAL WORKSHEET/FEE SCHEDULE
DESCRIPTION
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
WOODSTOVE/INSERT
GAS WATER HEATER
GAS EQUIPMENT <100,000 BTU (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
BOILER/REFRIG 1,0001-1,750M 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 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 >400,000 BTU
AIR HANDLER <10,000 CFM I E
D
AIR HANDLER >10,000 CFM
SEP 14 (992
BUILDING & SAFETY
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE ///
(Zip)
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
x 10.00 =
x 25.00 =
1
x 10.00 =
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 =
x 25.00 =
x 35.00 =
x 60.00 =
x 10.00 =
x10.00 =
x 50.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 50:00 =
x100.00 =
x 50.00 =
x100.00 =
x 12.00 =
10
1
1 2
2
2
x 15.00 =
SUBTOTAL
$ 24
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
47
= $
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675