1993, 01-13 Permit App: 93000171 Mechanical FixturesMECHANICAL PERMIT APPLICATION FORM
Information Worksheet
1
q.,
JOB STREET ADDRESS : 49'0 -(���C,T i(V1 t11101.jj
CITY/STATE/ZIP: 4712)kalIC(P2()(13kRCEL NUMBER:
OWNER: 511) n U } PHONE NUMBER: CA:
MAILING ADDRESS: 4-31--) FPII J MrckaaOt y -a► C. t )D `-'i D'`c-,"
(Street) (City/State) (Zip)
CONTRACTOR: AIR DESIGN, INC,
MAILING ADDRESS: E 1815 FRANCIS
LICENSE NUMBER: AIRDEI*161JW
PHONE NUMBER: 487-4328
SPOKANE WA 99207
(Street)
(City/State) (Zip)
MECHANICAL WORKSHEEfB/FEE SCHEDULE .
NUMBER X EACH
OF UNITS ITNIT
DESCRIPTION
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER. HEATER
HEATING EQUIPMENT <100,000 BTU
HEATING EQUIPMENT +100,000 BTU
GAS PIPING;:(EA OUTLET)
REFRIG 1-100M BTU (NOT A/C OR. HEAT PUMP)-
REFRIG 101-.500M.BTU`
REFRIG 501=1`; OOOM '.BTTJ'
REFRIG . 1,'601-1;750M BTU
REFRIG +1;._750M BTU,;
HEAT PUMP/& AIR'; CONDITIONER`'' 0-3 TONS
HEAT <' PUMP.'''& AIR CONDIT'I ONER 3 -15 --TONS
HEAT PUMP .& AIR;'CONDITIONER,-15-30 TONS
HEAT PUMP & AIR CONDITIONER -30-50 TONS
HEAT PUMP &.AIR CONDITIONER +50 TONS _
VENTILATING FANS
EVAPORATIVECOOLERS
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
TYPE II HOOD
CLOTHES DRYER
RANGE
GAS LOG
MISCELLANEOUS (NOT COVERED ELSEWHERE)
UNLISTED GAS APPLIANCE <400,000 BTU_
UNLISTED GAS APPLIANCE >400,000 BTU_
USED APPLIANCE <400,000 BTU
USED APPLIANCE >400,000 BTU
AIR HANDLER <10,000 CFM
AIR HANDLER >10,000 CFM
= AMOUNT
x610.00,=
x 25.00
x 10.00 = /
V x '12.00 ru0
x' 15..00
x 1.00 _ "s (-6
(:6
x 12.00 :_.
x 20.o0
:x 25.00 =
X -35.00 r._,
x 60.00'
x 20..00, =
X 25.7(50 =
x 35':00 =
x 6,0.00 .
x 10.00. =
x.10:00 =
_
x 50.00
x 10.00 =
x 10.00
x io: od
x 10:0 0 =+
x 10.00 .=
x
x100.00 =
x 50.00
x100.00 =
x 12.00 =
x 15.00 =
NOTE: MIN MUM PERMIT FEE IS $35.00
SIGNATURE_
(/
Spokane County Department of Building and Safety
West 1303 Broadwav Avenue Spokane, WA 99260 (509) 456-3675
SUBTOTAL
$ a<t.c )
PLUS: PROCESSING FEE
25.00
EQUALS: TOTAL PERMIT
FEE DUE
= 5 t-1q.ac