Loading...
1991, 07-03 Permit App: 91003977 Mechanical FixturesMECHANICAL PERMIT APPLICATION .FORM Information worksheet .70B STREET ADDRESS:. CITY/STATE/ZIP:',: � OWNER: MAILING ADDRESS: (Street) CONTRACTOR: AIR DESIGN, INC. NUMBER: PHONE NUMBER: ;;7 ;;7 ( ity/State) (Zip.) LICENSE NUMBER: AIRDEI*161JW . PHONE NUMBER: 487-4328 MAILING ADDRESS: E 1815 FRANCIS SPOKANE WA 99207 (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER I X EACH I DE8CRI.PTION OF UNITS i UNIT AMOUNT 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 +1,7.50M BTU.- ..HEAT TU _HEAT PUMP.& AIR CONDITIONER O-3 TONS HEAT P.UMP.& 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_ _ _ _ _ _ _ _ - - _ _ - f={,A?� - - - - - - - - - - - - - - - - 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 _ _ _ _ _ _ SUBTOTAL $ .-�) 4i • e9d PLUS: PROCESSING FEE +.$ 25.00 EQUALS: TOTAL PERMIT NOTE:. MINIMUM PER/M,ITp FE IS $35.,00 FEE DUE SIGNATURE Spokane County Department of Building and Safety West 1303 Broadway Avenue Spokane, WA 9260 (5.d9 456=3675 x$10.00 =I x 25.00 - x 10-00 = x, 12.00 = x 15.00= x 1: 00 = x 12.00 = X 20.00 x 25.00 = x 35: 00. a. x 60..00` �... x 12. OC 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 I f% 00 = x 10.00 = x 10.00 = x 50.00 = x100.00 = x 50.00 = x100.00.=. x 12.00 = x 15.00 _ 06 - O % a Ci ..:..:.., . SUBTOTAL $ .-�) 4i • e9d PLUS: PROCESSING FEE +.$ 25.00 EQUALS: TOTAL PERMIT NOTE:. MINIMUM PER/M,ITp FE IS $35.,00 FEE DUE SIGNATURE Spokane County Department of Building and Safety West 1303 Broadway Avenue Spokane, WA 9260 (5.d9 456=3675