1989, 10-17 Permit App: 89004097 Mechanical FixturesG--
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MECHANIC/AL-PERMIT APPLICATION FORM
info&ation Worksheet
JOB STREET ADDRESS: N. 1717 Fetts
6)90
CITY/STATE/ZIP: Spokane, Wa. 99206
OWNER: Jack Thompson
PARCEL NUMBER: Cl ())6/1/474-0T-7_,
PHONE NUMBER:
924-0146
MAILING ADDRESS: E. 10513 Valleyway Spokane, Wa. 99206
(Street)
CONTRACTOR: Sturm Heating. Tnr.
MAILING ADDRESS: E. 204 Indiana
(City/State) (Zip)
LICENSE NUMBER:STURMI*210 QF
PHONE NUMBER: 325-4505
(Street)
Spokane, Wa. 99207
(City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
DESCRIPTION
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER
HEATING EQUIPMENT <100,000 BTU
HEATING EQUIPMENT +100,000 BTU
GAS PIPING (1 - 4 OUTLETS)
GAS PIING (5 OR MORE. EACH:)
REFRIG 1-100M BTU (NOT A/C OR HEAT PUMP)
REFRIG 101-500M BTU
REFRIG 501-1,000M BTU
REFRIG 1,001-1,750M BTU
REFRIG +1,750M BTU
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
VENTILATING
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
FANS
0-3 TONS
3-15 TONS
15-30 TONS
30-50 TONS
+50 TONS
EVAPORATIVE COOLERS
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
1
1
2
x$10.00 =
x 25.00
x 10.00
x 12.00
x 15.00
X b 04
x 1.00
x 12.00
x 20.00
x 25.00
x 35.00
x 60.,00
x 12.00
x 20.00
x 25.00
x 35.00
x 60.00
x 10.00
x 10.00
x 50.00
x 10.00
X 10.00
x 10.00
x 10.00
x 10.00
x 50.00
x100.00
x 50.00
x100.00
x 12.00
x 15.00
10.00
12.00
2.00
NOTE:
SIGNATURE
NIMUM PERMIT FEE- I$ $35.00
0
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
SUBTOTAL
$24.00
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
_ $ 49.00