1993, 06-24 Permit App: 93005037 Mechanical Fixtures (2)35t31. Ol-tOq
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MECHANICAL PERMIT APPLICATION FORM
Information Worksheet
JOB STREET ADDRESS: N 1330 LILY
/3-L5 7
CITY/STATE/ZIP: SPOKANE WA 99212
OWNER: HAROLD BROWN
NAILING ADDRESS: E 11612 8th
CONTRACTOR:
PARCEL NUMBER:
MONS NUMIBM: 928-2023
SPOK WA 99206
MAILING ADDRESS:
,(Street) -- (City/Btatm) (Zip)
A&M QUALITY HEATING LICENSE NUMBER: Atiquammictum
E 1 �'ii 1j31ANKAVE.
SPOKANE; WA 99216
PHONE NUMBER: 92.1 -2 -too
(Street)
(City/State) (Zip)
MECHANICAL WORKSHEET/YEESCH&
HEDUL
ORA& tJNIT5 MUltr
DESCRIPTION
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER
HEATING EQUIPMENT 4100,000 BTU
HEATING EQUIPMENT +100,000 BTU
GAS PIPING (EA OUTLET).
REFRIG 1-100M BTU (NOT A/C OR HEAT PUMP)
REFRIG 101-500M BTU
— —11111M .1.110
REFRIG 501-1,000M BTU
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' 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
NOTE: MIN P RMIT ,EE IS $35.00
SIGNATURE i �.�
SUBTOTAL
• AMOUNT
•X$10.00 -
x as.00 •
x so..00 •
x 12.00. .
x 15.00 •
x„ 1.00 .
x12.00.09
x 20:00 -
x 25.00.do
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 •
PLUS: PROCESSING FEE + $ 25.00
EQUALS: TOTAL PERMIT ��
FEE DUE _ $
Spokane County Department of Buildin rand Safety
West 1303 Broadway Avenue Spokane, WA 9260 (509) 456-3675