1993, 01-22 Permit App: 93000344 Mechanical FixturesMECHANICAL PLRMIT APPLICATION FORM c`3 -
Infor.-nation Worksheet
JOB STREET ADDRESS: 519 S. Fox
CITY/STATE/ZIP: Spokane, WA 99206
OWNER: Byron Lakin
PARCEL NUMBER:
PHONE NUMBER: 926-2766
MAILING ADDRESS:
(Zip)
(Street) (City/State) SUNLOI107J6
CONTRACTOR: Inland Heating & Cooling
MAILING ADDRESS:
DESCRIPTION
LICENSE NUMBER: SUNLOI101JB
PHONE NUMBER: 455-4147
3655 Govt. Way (112 Coeur d'Alene, ID 83814
(Street)
(City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
WOODSTOVE/iNSERT
GAS WATER HEATER
GAS EQUIPMENT <100,000; BTU (INCLUDES
GAS EQUIPMENT +100,000 BTU DUCTWORK)
GAS PIPING EAOUTL >'
BOILER/REFRIG 1-100M BTU
BOILERIgEFRIG1101 --500M BTU
BOILER/REFRIG 501-1,000M BTU
BOILER/,REFRIG 1,0001 1,750M BTU
BOILER/REFRIG +1,750M BTU
.41 •PL•O P $:SIR CONDITIONER 0-3 TONS
HEAT PUMP & AIR CONDITIONER 3-15 TONS
HFAT,p MPS&° 113 CONDITIONER 15 -*TONS
HEAT PUMP & AIR CONDITIONER 30-50 TONS
HEATPUMpt CONDIT ONER;+50 TONS
.VENTILATING FANS
EVAPORATIVE (OO
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
CES DRYER
RANGE
GAS LOG
MISCELLANEOUS (NOT COVERED ELSEWHERE
UNLISTED GAS APPLIANCE <400.000 STU
UUNSTEB GAS APPLIANCE >400.000 BTU
USED APPLIANCE <400.000 BTU
USED APPLIANCE .‘I00p00 STU
AIR HANDLER <10.000 CFM
AIR HANDLER >10.000 CFM
NOTE: MINIMUM PERMIT FEE IS 535.00
SIGNATURE
1
2
1
x 10.00 =
x 25.00 =
x 10.00 =
x 12.00 =
x 15.03 =
x 1.00 =
x 12.00 =
x 20.00 =
x 25.00 =
x 35.00 =
x 60.00 =
x 12.00 =
x20.00 =
x 25.00 =
x 35.00 =
x 60.00 =
x 10.00 =
x 10.00 =
x 50.00 =
x 10.00 =
x 10.00 =
x10.00 =
x 10.00 -
x 10.00 -
x50.00 -
x100.00 -
x 50.00 -
x100.00 -
x12.00 =
x15.00 =
10.00
2.00
10.00
SUBTOTAL
PLUS: PROCESSING FEE
22.00
+$ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
=S
47.00
Spokane County Division of Buildings
Woct 1qnq Rrnariwav Avon' iP Snokane_ WA 99260 (5091456-3675