1993, 03-31 Permit App: 93001959 Mechanical FixturesMECH.AN!CAL PEPMIT APPLICATION FORM
Information Worksheet
Rd.
JOB STREET ADDRESS: N. 2007 Dick
CITY/STATE/ZIP: Spokane. WA 99212
OWNER: Lori Harkness
MAILING ADDRESS:
PARCEL NUMBER. 1-7 6-0 %3 `UI a'
PHONE NUMBER: 536-9576
(Street)
CONTRACTOR' inland Heating & Cooling
MAILING ADDRESS:
3655 Govt. Way 1112
(Gty/State) SUNLOI107J6
LICENSE NUMBER: SUNIAI IOIJB
(Zip)
PHONE NUMBER: 455-4147
Coeur. d'Alene, ID 83814
DESCRIPTION
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
WOODSTCVEIINSERT
GAS WATER HEATER
GAS EQUIPMENT <100,000 BTU (INCLUDES
GAS EQUIPMENT +100,000 BTU DUCTWORK)
GAS PIPING (EAOUTLET)
BOILER/REFRIG 1-100M BTU
OILEWgEFRIGI4t)OM pt.;:
BOILER/REFRIG 501-1,000M BTU
BOILER/REFRIG 1.,0001.-1;750M BTU
BOILER/REFRIG +1,750M BTU
HEAT PUMfl1- IR<CONDITIONER_0=3-TONS.
HEAT PUMP & AIR CONDITIONER 3-15 TONS
:HEATPUMP&�A1RCONDITIONEA 1530 TONS.
HEAf PUMP & AIR CONDITIONER 30 -50 -TONS
HEAT:,_P.tSMPA,f dONp(TIONER 450_ TONS
VENTILATING FANS
EVAPORATIVEAL:OO LERS
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
TYPE 11 }lOOD,"i _'--
CLOTHES DRYER
RANGE
GAS LOG
MISCELLANEOUS (NOT COVERED Elm
UNUSTED GAS APPUAMGE <400J 00 BTU
ULNSTED GAS APPLIANCE >400.000 BTU
USED APPUANCE <400,000 BTU
USED APPLUJ CE >400=0 BTU
AIR HANDLER ci 0.000 CFU
AIR HANDLER >10,000 CFU
(Street)
(City/State)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER
OF UNITS
(ZIP)
X EACH
UNIT
= AMOUNT
NOTE: MINIMUM PERMIT FEE IS 135.00
SIGNATURE
1
1
2
x 10.00 =
x 25.00 =
x 10.00 =
x 12.00 -
x 15.03 =
x 1.00 =
x 12.00 =
x 20.00 =
x25.00 =
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 -
x50.00 -
x100.00 -
x 12.00 =
x 15.00
10.00
12.00
2.00
SUBTOTAL
5 24.00
PLUS: PROCESSING FEE.
5 25.00
EOUALS: TOTAL PERMIT
FEE DUE
= 49.00
5
idi)' 04(
Spokane County Division of Buildings
124- ett_3