Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
1992, 07-27 Permit App: 92005737 Mechanical Fixtures
L4 MECHANICAL PERMIT APPLICATION FORM QFNURD v Information Worksheet/�2-�/ 127 JOB STREET ADDRESS: / V & , 3 57/ - A/o , 5/.3 . CITY/STATE/ZIP: 1d4 992/a PARCEL NUMBER: /4D. 32(2 OWNER: �z,� l t/ PHONE NUMBER: 9� 8 - 0 7 5 4. MAILING ADDRESS: (Street) (City/State) (Zip) A&M QUALITY HEATING LICENSE NUMBER: AsnyAHZlQlxi E. lftrOINSAANKAVE. PHONE NUMBER: 928-2100 CONTRACTOR: SPOKANE; WA 99216 MAILING ADDRESS: (Street) (City/State) MECHANICAL WORKSHEET/FEE SCHEDULE CH DESCRIPTION OFUNITSxUNIT . 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 OM/ AVIIM ONO REFRIG 501-1,000M BTO REFRIG 1,001-1,750M BTU REFRIG +1,750M BTU HEAT PUMP & AIR CONDITIONER HEAT PUMP & AIR CONDITIONER HEAT PUMP & AIR CONDITIONER HEAT PUMP & AIR CONDITIONER HEAT PUMP & AIR CONDITIONER VENTILATING FANS 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 (Zip) - 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 - - n1Q. 00 1f.00 /dj00 NOTE: MINIMUM PERMIT FEE IS $35.00 S IGNATURE SUBTOTAL $ 60,00 PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE = s F5o0 Spokane County Department•of Building"and Safety West 1303 Broadway. Avenue Spokane, WA 99260 (509) 456-3675