1992, 09-08 Permit App: 92007335 Mechanical Fixtures00°It•01" 2- 1�y1
�A ck i MECHANICAL PERMIT APPLICATION FORM
µ l V_w u , orrnation Worksheet , 1495
JOB STREET ADDRESS: 1 Dk • r0 -1IZ/�/' -0-- A/E
CITY/STATE/ZIP:5 -1}-17P1 0 t.Cra'DoG PARCEL NUMBER:
OWNER: K -i'1 Pe Iv tic 1 1a IUC PHONE NUMBER: VI-- 3(1.rIZ
MAILING ADDRESS:
(Street) (City/State) (Zip)
CONTRACTOR: Heat Transfer Inc. LICENSE NUMBER: H e a t t i -1881 n
PHONE NUMBER: 328-3400
MAILING ADDRESS: N. 1008 Ruby Spokane, WA 99202
(Street) (City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
DESCRIPTION
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
W000 TOV� /I• I=•R•T<=<«<>
GAS WATER HEATER
GASVEQUIPMENT +100,000 BTU DUCTWORK)
GAS PIPING: (EA OUTLtET)
BOILER/REFRIG 1-100M`BTU
171, :.y7.:n:4::
BOILER/REFRIG 501-1,000M BTU
:BOILER/REFRIG 10001.• ,7'50M BTI
BOILER/REFRIG +1,750M BTU
HEAT PUMP &AIR CONDITIONER 0 3 TONS
HEAT PUMP & AIR CONDITIONER 3-15 TONS
HEAT: PUMP & AIR: CONDITIONER 15 30 TONS
...............
HEAT PUMP 8L AIR CONDITIONER 30-50 TONS
HEAT PUMP;$ AIR CONDITIONER
VENTILATING FANS
E AP .RATI E.. LE
...........................::::::...........:::::::.........................................................................
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
TYPEs
CLOTHES DRYER
GAS LOG
IM1001Wigqmoggrioemaittiohittlgitai
UNUSTED GAS APPLIANCE <400,000 BTU
E...... 00►:BTU.::.:.. ..:.::::;••:;:�:::•r;�;:�
USED APPUANCE <400,000 BTU
fSI�'AI1s
AIR HANDLER <10,000 CFM
AI I A �ipr � M .................
,rmr7r':
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE
„„)%,,Q0LO, et.rfA
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
x 10.00 =
x 25.00 =
x10.00=
x 12.00 =
`
/0 OC)
j
ice,
x 15.00 =
x 1.00 =
02,co
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 =
x12.00=
x 15.00 =
SUBTOTAL
$ 111.00
PLUS: PROCESSING FEE
+ $ 25.00
ERMITq�
EQUALS: TOTAL PERMIT//TOO
FEE DUE
= $ / O O
Spokane(ounty Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675