1991, 10-29 Permit App: 91007273 Furnace, PipingMECHANICAL PERMIT APPLICATION FORM (J/E;&6424dos
Information Wexksheet LI/71
/71
JOB STREET ADDRESS: 8515 E, Knox
CITY/STATE/ZIP: Spokane; ,
WA 99212 PARCEL NUMBER:
OWNER: Bob Land
MAILING ADDRESS:
(Street)
CONTRACTOR: Allied Heating. Inc.
PHONE NUMBER:
MAILING ADDRESS: 9309 E. Trent
(Street)
MECHANICAL
DESCRIPTION
(City/State) (Zip)
LICENSE NUMBER:
PHONE NUMBER:
ALLIEI*200D4
928-8252
Spokane, WA 99206
(City/State) (Zip)
WORKSHEET/FEE SCHEDULE
NUMBER X EACH
OF UNITS UNIT
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
REFRIG 101-500M BTU
REFRIG 501-1,000M BTU
HEAT PUMP)
REFRIG 1,001-1,750M BTU
REFRIG +1,750M BTU
HEAT PUMP & AIR CONDITIONER
HEAT PUMP & AIR CONDITIONER
HEAT PUMP & AIR CONDITIONER
HEAT PUMP & AIR CONDITIONER
HEAT PUMP & AIR CONDITIONER
VENTILATING FANS
EVAPORATIVE COOLERS
0-3 TONS _
3-15 TONS
15-30 TONS
30-50 TONS
+50 TONS _
TYPE I HOOD (PER 12' OR 12'
TYPE II HOOD
CLOTHES DRYER
RANGE
GAS LOG
PTN. OF' HOOD)
MISCELLANEOUS (NOT COVERED E
UNLISTED GAS APPLIANCE <400,
UNLISTED GAS APPLIANCE >400,
USED APPLIANCE <400,000 BTU
USED APPLIANCE >400,000 BTU
AIR HANDLER <10,000 CFM
AIR HANDLER >10,000 CFM
LS EWHERE) ...t
000 BTU
000 BTU
1
•
t.
= AMOUNT
x$10.00 =
x 25.00 =
x 10.00 =
x 12.00 =
x 15.00 =
x 1.00 =
x 12.00 =
x 20.00 =
x 25.00 =
x 35.00 =
x 60.00 =
x 12.00 =
x 20.00 =
x25.00 =
x 35.00 =
x 60.00 =
x 10.00 =
X 10.00 0
x 50.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x'10.9 _
x 50.d0 =
x100.00 =
x 50.00 =
x100.00 =_
x 12.00
x 15.00 =
!a oo
,oa
NOTE: MIN
SIGNATURE
SUBTOTAL
PLUS: PROCESSING FEE
17 00
+ $ 25.00
EQUALS: TOTAL PERMIT
MUM PERMIT FEE I8 $35.00 FEE DUE
Spokane County Department of Buildin_�qq and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
= $ 38.00
AciJ iidia;ei i>.uwgt ,.._:«t . ..,,, 9➢(iiri roiaa, hy` 0 =?moi