1992, 09-08 Permit App: 92007301 Water Heater, Piping35 sa . S(¢ol
iygiA tiE g
-JOB STREET ADDRESS:
MECHANICAL PERMIT APPLICATION FORM
Information Worksheet
2563 N. Elizabeth
CITY/STATE/ZIP: Spokane, WA 99212 PARCEL NUMBER:
OWNER: Betty Wacenske PHONE NUMBER:
MAILING ADDRESS:
(Street) (City/State) (Zip)
CONTRACTOR: Allidd Heating, Inc. LICENSE NUMBER: ALLIEI*200D4
PHONE NUMBER: 928-8252
MAILING ADDRESS: 9309 E. Trent
• (Street)
Spokane. WA 99206
(City/State) (Zip)
MECHANICAL
DESCRIPTION
WORKSHEET/FEE SCHEDULE
NUMBER
OF UNITS
X EACH
UNIT
i
DUCTWORK SYSTEM
WOCDSTOVE/INSERT
GAS{ WATER HEATER
HEATING EQUIPMENT <100,000 BTU
HEATING EQUIPMENT +100,000 BTU
QAS) PIPING (EA OUTLET)
REERIG 1-100M BTU (NOT A/C OR HEAT PUMP)
REERIG 101-500M BTU
REF.RIG 501-1,000M BTU
REERIG 1,001-1,750M BTU •
REFRIG +1,750M BTU
HEAT PUMP &
HEAT PUMP &
HEFT PUMP &
HEAT PUMP &
HEFT PUMP &
VEDTILATING
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
EV/PORATIVE COOLERS
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
TYKE II HOOD
CLOTHES DRYER
RANGE
GA: LOG
MI:CELLANEOUS (NOT COVERED ELSEWHERE)
UNI4rISTED GAS APPLIANCE <400,000 BTU
UNI`ISTED GAS APPLIANCE >400,000 BTU
USID APPLIANCE <400,000 BTU
USID APPLIANCE >400,000 BTU
A,IIt HANDLER <10,000 CFM
Ault HANDLER >10,000 CFM
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 12.0C
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
in, as
he:5(s
NOTE: MIIMUM PERMIT.FEE IIS $35.00
SINATURE//
�Jp (/ C
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
SUBTOTAL
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE