1994, 02-16 Permit App: 94001189 Water Heater, PipingJOB STREET ADDRESS:
CITY/STATE/ZIP:
ms- etc
OWNER: e. » / `,L ►yam
MAILING ADDRESS:
MECHANICAL PERMIT APPLICATION FORM (14 -,1, gG
Irttorrnaan Worksheet -J
CONTRACTOR:
(Street)
MAILING ADDRESS: E
DESCRIPTION
PA -CEL NUMBER:__
PHONE NUMBER: 7 ' - '.39 7
LCI y/Sthto)�l (rP)
LICENSE NUMBER:A) (O 1) 11 07i LI
1/ PHONE NUMBER:
ea' a/
(Street) (C1ty/Stato)
MECHANICAL WORKSHEET/FEE SCHEDULE
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
GAS WATER HEATER
GAS EQUIPMENT +100,000 BTU DUCTWORK)
GAS. IPINO
BOILERJRF_FRIG 1-100M BTU
%
BOILER/REFRIG 501-1,000M BTU
EOILEF1/REFRIG +.1,750M BTU
HEAT PUMi s At.R CONT TIONER O4.TO 15..
HEAT. PUMP 8 AIR CONDITIONER 3-15 TONS
:.HEAT,PL3 P & AIR GONDmO f:ER 15-30 TOPS
HEAT PUMP & ARR CONDITIONER 30--50 TONS
HEAT PUMP Ir"" CONDil lJNEA 4S TONS
VENTILATING FANS
EVAPO -.A11VE COOLERS ..
TYPE 1 HOOD (PER 12' OR 12' PTN. OF HOOD)
TYPE•IiHOOD
CLOTHES DRYER
RANGE
GAS LOG
MISCEi LANEOUS (L OT COVER ? E ` 4,i -{F H
UNLISTED GAS APPLIANCE <400,000 BTU
ULIPJST1rD GAS AEPLIpf C .>400,000 Si U ;
USED APPLIANCE <400,000 BTU
kLISED:Ap L!ANCS >4s 0,C00 8 U
A UR HANDLER .<10,000.CFM'.
AIR HANDLER >1:0,000CF
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE -('L k7
10-4,-;
Snokane County Division of Buildings
Aveno9 Sp -Duane.. WA99260150914-3675.
gst 1303
(Zip)
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
x10.00 =
..x- 25:00 : to--
x 10.00 a
„
-- ---
/ (12__0-0---
12__0x12.00
x 12.00=
x 15,00 =
x 1.00 =
x 12.00 =
x 20.00 =
-x25.00
x35.00
x 50:00 .=.. _
.X012.00'
X 20,00 =
x 25.00 =
x 35.00 =
x60.00=
x 10.00 =
x10.00
x50.00=
x 10.00 :-
x 10.00 =
x 10.00-
x 10.00
x 1,0.00 =
x 50.00 =
x100.00 =
x 50.00
x100.00 M
x1'2.00 ._
x 15.00
l = o'
• 4
., _ ._ .. .--
....
.
.
.
.
.._ .
..... _.._ .. .
.1..
SUBTOTAL . :f;
$.1t (30
-1-:$ . • 25.00'
PLUS: PROCESSING FEE -.
EQUALS: TOTAL PERMIT ..
FEE DUE
t
=S-36-00