1990, 10-11 Permit App: 90005331 Water HeaterJOB STREET ADDRESS:
CITY/STATE/ZIP:
OWNER:
MECHANICAL PERMS A -S PPLICATION FORM C
Information Worksheet 4-(L,
. 3e-
UVA q / `LPARCEL NUMBER: d 64 � (. 0
• y -Q PHONE NUMBER:
MAILING ADDRESS:
CONTRACTOR:
(Street)
A 2., M DUALITY T GO INC„
MAILING ADDRESS:
Y's E. 12710 InWana
-,Spc,iare, liksNr.7°;;1 99216
(City/State)/ (Zip)
LICENSE NUMBER: AM g46/J //ZE /9tiJ
PHONE NUMBER: 9a
(Street)
(City/State)
(Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER
OF UNITS
DESCRIPTION
X EACH
UNIT
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 R HEAT PIMP)
REFRIG 101-500M BTU
REFRIG 501-1,000M BTU
REFRIG 1,001-1,750M BTU
REFRIG +1,750M BTU
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
VENTILATING
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
FANS
0-3 TONS _
3-15 TONS
15-30 TONS
30-50 TONS
+50 TONS
EVAPORATIVE COOLERS
TYPE I HOOD (PER 12' OR 12'
TYPE II HOOD
CLOTHES DRYER
RANGE
GAS LOG
PTN. OF HOOD)
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 12.00 =
x 15.00 =
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: M s Irk PERMIT, EE IS $35.00
SIGNATURE
SUBTOTAL
PLUS: PROCESSING FEE
$ l fl .O,J
+ $ 25.00
EQUALS; ` TOTAL PE RM.I.T
FEE DUE
$
Spokane County Department of Buildingg and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
JOB STREET ADDRESS:
PLUMBING" PEPiW.APPLICATION FORM
Information Worksheet
CITY/STATE/ZIP: PARCEL NUMBER:
OWNER: PHONE NUMBER:
MAILING ADDRESS:
(Street) (City/State) (Zip)
CONTRACTOR: A & M QUALITY HEATING, INC. LICENSE NUMBER: j4 M 7 U A j-1 C-. I q 3A/ /
E. 12710 Indiana PHONE NUMBER: g 2 (U�
Spokane, Washington 99216
MAILING ADDRESS:
(Street)
(City/St_a.te). (Zip).
PLUMBING WORKSHEET/FEE SCHEDULE
DESCRIPTION
NUMBER OF
FIXTURES
X EACH
FIXTURE
= AMOUNT
TOILETS
SINKS
SHOWERS
BATH TUBS
KITCHEN SINKS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
UTILITY SINKS
ELECTRIC WATER HEATERS
FLOOR DRAINS
FLOOR SINKS
BAR SINKS
ROOF DRAINS
LAWN SPRINKLER
SEWAGE EJECTOR
WATER SOFTENER
URINAL
DRINKING FOUNTAIN
x $6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATUR
SUBTOTAL
PLUS: PROCESSING FEE
1
+ $ 25.00
EQUALS: TOTAL PERMIT'
FEE DUE l_ $
I I I
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675