1993, 06-21 Permit App: 93004821 Mechanical FixturesMECHANICAL PERMIT APPLICATION FORM - . 7 i - t(
Information Worksheet /
JOB STREET ADDRESS: 79/0 l' .v-c_C- e. 4- 1iz1 //�
CITY/STATE/ZIP: 1549 D KGLif'�s 6234 99azq PARCEL NUMBER:
OWNER: /L% 1///M P -1-,y PHONE NUMBER: 91� f 3a 5/...5-
MAILING
.iMAILING ADDRESS:
(Street) (City/State) Pp)
CONTRACTOR: Heat Transfer Inc. UCENSENUMBER: Heatti-1881n
PHONE NUMBER: 482-2000
MAILING ADDRESS: N. 3003 Crestline Soaker -1.e, WA 99207
(Street) (City/State) (ZIp)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER
OF UNITS
DESCRIPTION
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
.
GAS WATER HEATER
XEACH
UNIT
=AMOUNT
vwvi: {n;qv{bu:::;n.pyn•?vv. ,:h::.•.: yn,•n:;9•w::.:-:.vw-w. tp}pgp.
GAS ENTr flT. I�ICIL1<iDES
v.::.:.:::.v:.:.4.:v.....x......:....vv.v::.t..:::..:. nrr........t..v...:.........
GAS EQUIPMENT+100,000 BTU DUCTWORK)
=GILER/REFRIG 1-100M BTU
ywvv:q}}}}wv}•wvw..,, .:tfi,
B Q I LE:A�R EFFitC ;1:01 BOO hf_S_TU:<y
30ILER/REFRIG 501-1,000M BTU
301L; RIR Ft G l 0O!•
0; - 750IN
30ILER/REFRIG +1,750M BTU
-iEAT.PUMP.&.AIR.CoNDITIQNER
SEAT PUMP & AIR CONDITIONER 3-15 TONS
SEAT PUMP & AIR CONDITIONER 15 3O TONS
.......:r...n.......n,w nvn...:.wn.v.. w: r..vrx....v, i::...: vw..wvv�,vhw.nvv
TEAT PUMP & AIR CONDITIONER 30-50 TONS
1EAT PUMP &AIR CONDITIONER.:+50 TONS;:..
'ENTILATING FANS
VAPQRATI E CE70..
YPE 1 HOOD (PER 12' OR 12' PTN. OF HOOD)
.LOTHES DRYER
JAS LOG
114.NUSTED GvEwAOS APPLIANCE
3,vVv<400,000 B
•..ET...:. U vN.•.Hww.w:•. •r . wEw
�•.4,vGr46`Xf(gGfiiG`wiw.�
•
SED APPLIANCE <400,000 BTU
IR HANDLER -Zi -0,006 CFM
•
x 10.00 =
x 25.00 =
x 10.00 =
x 12.00 =
x15.00
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 =
x10.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 50.00 =
x100.00 =
x 50.00 =
x100.00 =
x12.00 =
x15.00=
/0..00
1a, d0
,pd
OTE: MINIMUM PERMIT FEE IS $35.00
SUBTOTAL
PLUS: PROCESSING FEE
EQUALS: TOTAL PERMIT
FEE DUE
4DO
+ $ 25.00
=$ 419 da
G NATU R Et Gill
Spokane County Division of Buildings
West 1026 Broadway Avenue Spokane, WA 99260 (509) 456-3675
JUN