1993, 04-20 Permit App: 93002695 Mechanical Fixtures453 �6 0 � l 1 Ad - d-
MECHIN!CAL PERMIT AFPLICATiON FOFIM
JOB STREET ADDRESS: S. 4043 Forest Meadow Dr.
CITY/STATE/ZIP: Spokane, WA 99206 PARCEL NUMBER:
OWNER: John Goforth PHONE NUMBER: 922-6120
MAILING ADDRESS: lama
Infor.-nation Worksheet
zo
658
(Street)
CONTRACTOR: Inland Heating & Cooling
MAILING ADDRESS:
(City/State) SUNLOI107J6
LICENSE NUMBER: SUNLOI101JB
(Zip)
PHONE NUMBER: 455-4147
3655 Govt. Way 1112 Coeur d'Alene, ID 83814
(Street)
(City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
DESCRIPTION
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
WOODSTOVE/INSERT
GAS WATER HEATER
GAS -EQUIPMENT <100,000 BTU (INCLUDES
GAS EQUIPMENT +100,000 BTU DUCTWORK)
GAS PIPING (EA OUTLET)
BOILER/REFRIG 1-100M BTU
BOILER/REFIIIGy01-500M BTU,
BOILER/REFRIG 501-1,000M BTU
BOILER/REFRIG 1,0001-1 750M BTU
BOILER/REFRIG +1,750M BTU
HEAT-PUMP&,AIR CONDITIONER 0-3 TONS
HEAT PUMP & AIR CONDITIONER 3-15 TONS
HEATPU,MPS&41R CONDITIONER 115-30:TONS
HEAT PUMP & AIR CONDITIONER 30-50 TONS
FIEATP;I f4P F ,CONDfT1ONER450 TONS
.VENTILATING FANS
EVApc*:T grspOLERS , <;
TYPE 1 HOOD (PER 12' OR 12' PTN. OF HOOD)
TYPE 1f BOOL)
CLOTHES DRYER
RANGE
GAS LOG
MISCELLANEOUS (NOT COVERED ELSEWHERE
UNLISTED GAS APPLIANCE <400.000 BTU
ULJISTED GAS APPUAN( >400.000 STU
USED APPLIANCE <400.000 BTU
USED APPLIANCE 7 ,000 BTU
ArA HAItot.ER <t 0.000 CFtu
AIR HANDLER >10,000 CFU
NOTE: MINIMUM PERMIT FEE IS 535.00
SIGNATURE
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
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 =
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
15.00
2.00
SUBTOTAL
27.00
PLUS: PROCESSING FEE
S 25.00
EQUALS: TOTAL PERMIT
FEE DUE
52.00
=s
Spokane County Division of Buildings