Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
1989, 07-19 Permit App: 89002301 Furnace
MECHANICAL PERMIT APPLICATION FORM Information WorksheQt JOB STREET ADDRESS: _/U , I/ y �1 U L j//6?0 y/d'/. CITY/STATE/ZIP:6470eQ/nC OQ-_9 � PARCEL NUMBER: OWNER:n�� NUMBER: MAILING ADDRESS: %�� �/� O C241 ��• (Street)' (City/State) r� (zip) / CONTRACTOR:4111, /�U/2� irJ LICENSE NUMBER: 14111e-1, - PHONE NUMBER: (3,09 MAILING ADDRESS: _ �J�G �i /l� 6k'1,nQ; l/UQ .. 9 9 af� (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE DESCRIPTION I OF UNITS I UNIT I = AMOUNT DUCTWORK SYSTEM_____________ WOODSTOVE/ INSERT - - - - - - - - - - - - GAS WATER HEATER____________ HEATING EQUIPMENT <100,000 BTU - - - - - HEATING EQUIPMENT +100,000 BTU - - - - - GAS PIPING (1 - 4 OUTLETS) - - - - - - - GAS PIING (5 OR MORE. EACH:)- - _ _ _ _ REFRIG 1-100M BTU (NOT A/C OR HEAT PUMP) REFRIG 101-500M BTUBT_ REFRIG 501-1,000M U_ _ - - - - - - - - REFRIG 1,001-1,750M BTU_ _ _ _ _ _ _ _ _ REFRIG +1, 750M NBTU _ _ _ _ _ _ _ _ _ - - 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_ - - 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 NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE Spokane County Department of Building and Safety West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 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 = 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 = - Ix SUBTOTAL $ PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE = $ 3 Spokane County Department of Building and Safety West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675