1992, 10-09 Permit App: 92008703 Mechanical FixturesJOB STREET ADDRESS:
CITY/STATE/ZIP:
c9 111034/0 -3S
4AA 9\ co
MECHANICAL PERMIT APPLICATION FORM U\fr j ->
4Infnrmation Worksheet
bia4-44.1 a 41/8 d�
uJ!l /92/2 PARCEL NUMBER: A6 -117,Q_ ) 11) I
OWNER: M2462 CradtteLl PHONE NUMBER: la v- q rig
F'
MAILING ADDRESS:
(Street)
A&M QUALITY HEATING
E. 117TWINDIANA AVE.
SPOKANE; WA 99216
MAILING ADDRESS:
CONTRACTOR:
(City/State) (Zip)
LICENSE NUMBER:
PHONE NUMBER:
(Street)
A)/0)IAHR 141N 1
928-2100
(City/State)
(Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
OF UNITS UNIT
DESCRIPTION
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER
HEATING EQUIPMENT <100,000 BTU
HEATING EQUIPMENT +100,000 BTU
GAS PIPING (EA OUTLET)
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
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
FANS
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
VENTILATING
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
/
AMOUNT
x$10.00 -
x 25.00 -
x 10.00 .-
x
KKKKKKKK
12.
15.00 -
1.00 -
12.00.-
20.00 -
25.00..-
35.00. -
60.00 -
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 =
/20,00
oo
NOTE: MI MUPERM,�IS $35.00
SIGNATURE
SUBTOTAL
s a'/o
PLUS: PROCESSING FEE
+ $ 25.001
EQUALS: TOTAL PERMIT
FEE DUE
= $41g,0o j
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675