1990, 10-04 Permit App: 90005126 Mechanical FixtureMECHANICAL PEWIT APPLICATION FFJRM
Infor.^.,:ati.on Worksheet Q
308 STREET ADDRESS:
CITY/STATE/ZIP:CE.
ad'2y
AY
g since \Qc=1tr o2syy- n3/�
gc-tig ) PARCEL NUMBER: !o.}z15: /a/X-7
OWNER: 4r%1n1.1 (7.1ml
MAILING ADDRESS: f 4 .? s P..fn \t 1L \tt J
(Street),
CONTRACTOR: C-fi11'.c\-c.;EN-1 1/4
MAILING ADDRESS:
PHONE NUMBER: C-ac_47n\ai_
4\In) °fin(',
(City/State)(Zin)
LICENSE NUMBER: G\ �`a,\1 C1; CC
PHONE :TIMBER:;
Lox)~-'_=57ma A��G
(Street)
i�tL_aC‘
( ity/Sta;:e) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
OF UNITS UNIT
DESCRIPTION
= AMOUNT
DUCTWORK SYSTEM_
WOODSTOVE/INSERT
GAS WATER HEATER
HEATING EQUIPMENT <100,000 ETU
HEATING EQUIPMENT +100,300 BTU
GAS PIPING (1 - 4 OUTLETS)
GAS PIPING (5 OR MORE. EACH:)
REFRIG ;-900' BTU (NOT v SE
REFRIG 101-500M BTU
REFRIG 501-1,000M BTU
.T V....m:
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^
TYPE I HOOC (PER 12' OR 12'
TYPE II HOOD
CLOTHES DRYER
RANGE
GAS LOG
0-3 TONS _
3-15 TONS
15-30 TONS
30-50 TONS
+50 TONS
PTN. OF HOOD)
MISCELLANEOUS (NOT COVERED ELSEWHERE) _
UNLISTED GAS APPLIANCE <400,000 L
IV
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
•
x$10.00
x 25.00
x 10.00
x 12.00
x 15.00
x 4.00
x 1.00
12.40
_ 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
x 10.00
x 10.00
x 10.00
x 10.00
x 10.00
x bo.JU
x1C0.00
x 50.00
x100.00
x 12.00
x 15.00
ar
Jaz. ca
SUBTOTAL $ 1
PLUS: PROCESSING FEE + $ 25.00
EQUALS: TOTAL PERMIT
NOTE: INIMUM PERHIT .EE TS $35.00 FEE DUE _ $ sict
SIGNATUREc I ti�d
Spook e County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675