1993, 06-11 Permti App: 93005174 Mechanical Fixturess
MECHANICAL PERMIT APPLICATION FORM `? .. • -
e
J08 STREET ADDRESS: Y 7`0 3
CITY/STATE/ZIP:sSp is,
OWNER: DWr\ C ofo Y
Information Worksheet
FOr est /)z�do u -� r
0 (-�iYt P a -O ( PARCEL NUMBER:
PHONE NUMBER: %4.2 - h /
MAILING ADDRESS: +4,4
(Street)
CONTRACTOR: Heat Transfer Inc.
MAILING ADDRESS:
N. 3003 Crestline
(City/State) (Zip)
UCENSENUMBER: Heatti-1881n
PHONE NUMBER: 482-2000
Spokane. WA 99207
DESCRIPTION
(Street) (City/State)
MECHANICAL WORKSHEET/FEE SCHEDULE
(zip)
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
WOODSTOVE/.1NSERI`
GAS WATER HEATER
r a c'criio3"c n
GAS EQUIPMENT+100,000 BTU DUCTWORK)
WEIM
(EA OUTLE:�.1.:.........:.
�;,{LER/REFRIG 1-100M BTU
3Q1W(1i���C<100OQtiE;�l�>'
30ILER/REFRIG 501-1,000M BTU
301LER/REFR1G:l oO 1.L75oM BTU
3OILER/REFRIG +1,750M BTU
SEAT PUMP & aIF� CEd 0 :..0..3...0::....,.::
1EAT PUMP & AIR CONDITIONER 3-15 TONS
IEAT PIMP &AIR CONDITIONER 15. 30 TONS
TEAT PUMP & AIR CONDITIONER 30-50 TONS
TEAT PUMP.& AIR CONDITIONER.50 + TONS;;:
.:........................ ...... ....... ...:....
'ENTILATING FANS
VAPQRATIVE CI0OC EA
YPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
..................................
..............................
'f P,E IfH000`:
. ... ...... . .....
LOTHES DRYER
ANGE`
AS LOG :.::.:.:......
ISLE ANEOUS (NOT OVEREL?`:£1SEIIVH. '1E{ ?
NUSTED GAS APPLIANCE <400,000 BTU
f IN:S ED<fiAS Ai P.UA ICE 40(
SED APPUANCE <400,000 BTU
3E 2`APPLtANCE lt3O,000 BTU
R HANDLER <10,000 CFM
µ
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 =
x12.00 _
x 15.00 =
/a-
00
/a. o0
1,
)TE: MINIMUM PERMIT FEE IS 535.00
3NATUR
SUBTOTAL
PLUS: PROCESSING FEE
.4v0
$ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
Spokane County Division of Buildings
West 1025 Broadway Avenue Spokane, WA 99260 (509) 456-3675
•