1993, 06-07 Permit App: 93004366 Mechanical FixturesG (.'1 `C ) :!5 - ' •
L `�� `�Lp•�-?ECHAN!CAL PEl?t,Ai i- APPLICATION FORM
R 025
p Information Worksheet
JOB STREET ADDRESS: 11 323 E. Fairview
CITY/STATE/ZIP: Spokane, WA 99206 PARCEL NUMBER:
OWNER: Daniel Weitman PHONE NUMBER: 928-7017
MAILING ADDRESS:
Y iJ" / LJV7
i573q
(Street)
CONTRACTOR: Inland Heating & Cooling
(City/State) SUNLOI107J6 (Z'p)
LICENSE NUMBER. SUNLOI101JB
PHONE NUMBER: 455-4147
MAILING ADDRESS: 3655 Govt. Way 1112 Coeur d'Alene, 1D 83814
(Street)
(City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER
OF UNITS
DESCRIPTION
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
WOOOSTOVE/INSERT
GAS WATER HEATER
GAS EQUIPMENT <100,000 BTU (INCLUDES
GAS EQUIPMENT +100,000 BTU DUCTWORK)
GAS PIPING (EAOUTLET)
BOILER/REFRIG 1-100M BTU
BOILER/REFRIG-101- 500M BTU
BOILER/REFRIG 501-1,000M BTU
BOILER/REFRIG 1,0001-1,750M BTU
BOILER/REFRIG +1,750M BTU
HEAT PUMP&,(R,CONDITIONER 0-3 TONS
HEAT PUMP & AIR CONDITIONER 3-15 TONS
HEATPUMPsiV..A1RCONDITIONER 15-30 TONS
HEAT PUMP & AIR CONDITIONER 30-50 TONS
HEATPIIMP RCONDVTIONEF1*50 TONS
VENTILATING FANS
EVAPORATIVOQOLERS
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
TYPE 1[ MOOD A
CLOTHES DRYER
RANGE ..
GAS LOG
MISCELLANEOUS (NOT COVERED SERE
UNLtS 1 eo GAS APPLIANCE <400.000 BTU
Uuti1STEa GAS APPLIANCE >400.000 BTU
USED APPLIANCE <400.000 BTU
USED APPLIANCE ?400,000 BTU
ArR HANDLER <10.000 CF*A
AIR HANDLER >10.000 CFM
NOTE: MINIMUM PERMIT FEE IS S35.00
SIGNATURE
X EACH
UNIT
= AMOUNT
1
1
2
x 10.00 =
x 25.00 =
x 10.00 =
x 12.00 =
x 15.03 =
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 =
x10.00 =
x 10.00
x 10.00
x 10.00 -
x 10.00 -
x50.00 -
x100.00
x 50.00 -
x100.00 -
x 12.00
x 15.00
10.00
12.00
2.00
SUBTOTAL
PLUS: PROCESSING FEE
5
24.00
.
$ 25.00
EOUALS: TOTAL PERMIT
FEE DUE
=5
49.00
Spokane County Division of Buildings