1992, 09-04 Permit App: 92007200 Mechanical FixturesMECHANICAL PERMIT APPLICATION FORM Ct ` 1200
Infor..natiowworlkaheet 3cco Z
JOB STREET ADDRESS: 4610 N. Larch A.
CITY/STATE/ZIP: Spokane, WA 99216. PARCEL NUMBER:
OWNER: Don Daniels PHONE NUMBER: 927-0480
MAILING ADDRESS:
(Street) (City/State) SUNLOI 10 7 J 6 (Zip)
CONTRACTOR: Inland Heating & Cooling LICENSE NUMBER: SUNLOI101JB
PHONE NUMBER: 455-4147
MAILING ADDRESS:
(Street) (City/State)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER
DESCRIPTION OF UNITS
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) x 10.00 =
WOODSTOVE/INSERT x 25.00 =
GAS WATER HEATER 1 x 10.00 =
GASiEQUIPMENT:<100,000 BTU(INCLUDES _ 1 x 12.00 =
GAS EQUIPMENT +100,000 BTU DUCTWORK) x 15.03 =
GAS1PIPINGiEAC+UTLET):; ": 2
x 1.00 =
BOILER/REFRIG 1-100M BTU x 12.00 =
801TISF,13c- r af01 500M:Otti :,': <` < .'i ` . c .. x 20.00 =
BOILER/REFRIG 501-1,000M BTU x 25.00 =
BOLLEWREFA1G=1-,cooP7.;750M BTU '; . _..::.'. x 35.00 =
BOILER/REFRIG +1,750M BTU x 60.00 =
7t 11,jVIP AIEI CONI300NER:0 M3 TONS':.•. •x 12.00 =
HEAT PUMP & AIR CONDmONER 3-15 TONS x 20.00 =
.n:... v..: <wYY..n Y "inyxvi"..:.n..:..:.: ...:....xw...:..:...ww: w4.wp..v.,j" ,.
EA7 , ,11IP'&?, ►1,.it00014MONEft 7 30wTONS:: ,::::':_,. x 25.00 =
HEAT PUMP & AIR CONDITIONER 30-50 TONS x 35.00 =
:HEATPI'I P„,� ge,NDLTLONEH;+50`TONS`.::
_<,.I',,a_��.�� .:, ,..: x 60.00 =
VENTILATING FANS x 10.00 =
EVAPDRATIVE_QO,LERS x 10.00 =
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) x 50.00 =
TYPE II_IOOd=: 4 : x 10.00 =
CLOTHES DRYER x 10.00 =
RANGE : x 10.00 =
GAS LOG x 10.00 -
MISCELLANEOUS (NOT COVERED ELSEWHERE x 10.00 -
UNLISTED GAS APPLE <400.000 BTU x 50.00 -
UIJNS'TED GAS APPUANCE >4QOMO BTU x100.00 =
USED APPUANCE ce00,000 BTU x 50.00 -
USED APPLIANCE CO BTU x100.00 -
AIR HANDLER c10.000 Gnu x 12.00 =
AIR HANDIER >10,000 CFM x 15.00 =
X EACH
UNIT
(Zip)
= AMOUNT
10.00
12.00
2.00
NOTE: MINIMUM PERMIT FEE IS $35.00
SUBTOTAL
$ 74 00
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
49.00
=5
SIGNATURE
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675