1992, 06-23 Permit App: 92004579 Water Heater, Piping1{5t) :5- aa33
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MECHANICAL PERMIT APPLICATION FORM
Information Worksheet
JOB STREET ADDRESS: 390(North Edgerton Road
Ika 14519
CITY/STATE/ZIP: Spokane, WA 99212 PARCEL NUMBER:
OWNER:
Bill Gire
MAILING ADDRESS: 3907 North Edgerton
(Street)
CONTRACTOR: Steinmetz Heatin & A/C
PHONE NUMBER: (509) 922-6090
Road
_Spokane. WA 99717
(City/State) (Zip)
LICENSE NUMBER:
STEINHA147KF
PHONE NUMBER: (509) 922-2034
MAILING ADDRESS: 2114 North Pines Road, Suite 3
(Street)
Spnkane. WA 99706;
(City/State) (Zip)
MECHANICAL.WORKSHEFT/FFE SCHFDULE.
NUMBER X EACH
OF UNITS UNIT
DESCRIPTION
DUCTWORK SYSTEM
WOODSTOXE/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 +1,750M 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' 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
1
1
= 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 =
10.00 •
'1.00
NOTE: MINIMUM PERMIT FEE IS $35.00
IAA b\ a. LiUffeA)
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 9260 (509) 456-3675
SIGNATURE
SUBTOTAL
$ 11.00
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
$ 36.00
CK #4060