1990, 01-05 Permit App: 90000083 FurnaceJOB STREET ADDRESS:
CITY/STATE/ZIP:
OWNER: Py f
MECHANICAL PERMIT r?PLICATION FORM
Information Worksheet Co ( fL/ L ) (� PA25 O ' Ggo U Arco ,L�
PARCEL NUMBER:
MAILING ADDRESS:
/ C C A�2rty%
Al- 930c C,0 t -P2
007S41 - .260g,
PHONE NUMBER: C/ 9q ' 6,'i 5-3
CONTRACTOR: V/r) 5
MAILING
(Street)
/1-0 741;:f
ADDRESS:2 ` 7/1.3-OWPNS
(Street)
LICENSE
PHONE
(City/State) (Zip)
�id3/ S/.3/L /
J3MS F?rATiN n Rt A,C,
E. 7113 OWENS RD.
(MA i rARO Y, WA 3;aq:
y/2 L( C FH 4$9-0629
�.
C'A/1na005i.t-y/s.1Lgatet4SNAS1i3' �)
99042
NUMBER:
NUMBER:
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
OF UNITS UNIT
DESCRIPTION
= AMOUNT •
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER
HEATING EQUIPMENT <100,000 BTU
HEATING EQUIPMENT +100,000 BTU
GAS PIPING (1 - 4 OUTLETS)
GAS PII;ING (5 OR MORE. EACH:)
REFRIG 1-100M BTU (NOT A/C OR HEAT PUMP)
REFRIG 101-500M BTU
REFRIG 501-1,000M BTU
REFRIG 1,001-1,750M BTU
REFRIG +1,750M BTU
HEAT PUMP & AIR CONDITIONER
HEAT PUMP & AIR CONDITIONER
HEAT PUMP & AIR CONDITIONER
HEAT PUMP & AIR CONDITIONER
HEAT PUMP & AIR CONDITIONER
VENTILATING FANS
0-3 TONS
3-15 TONS
15-30 TONS
30-50 TONS
+50 TONS
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
UNLISTED GAS APPLIANCE >400,000 BTU
USED APPLIANCE <400,000 BTU
USED APPLIANCE >400,000 BTU
AIR HANDLER <10,000 CFM
AIR HANDLER >10,000 CFM
x$10.00
x 25.00
x 10.00
x 12.00
x 15.00
x 4.00
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
x 10.00
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
x 15.00
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE
SUBTOTAL
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675