1990, 12-10 Permit App: 90006673 Mechanical FixturesJOB STREET ADDRESS:
MECHANICAL PERMIT APPLICATION FORM
InformatioK-i 'Weinksheet
1 3at7 Li i#
CITY/STATE/ZIP: Sr70totvle WDt 61°lZ/2-PARCEL NUMBER:
OWNER: A)bert W Cremminle/ PHONE NUMBER: 9'1a0 71/,j
MAILING ADDRESS: /t/, 2.2.2.[o AGunrt4rh oIrae° t047. /Z-.
(city/State) (Zip)
CONTRACTOR:
(Street)
LV .0kt14h°' Yeofin,
MAILING ADDRESS:
LICENSE NUMBER:
PHONE NUMBER:
(Street)
(City/State)
(Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
OF, UNITS UNIT
.DESCRIPTION
DUCTWORK SYSTEM
WOODSTOVF/INSERT
GAS WATER HEATER
HEATING EQUIPMENT <100,900 BTU -
HEATING EQUIPMENT +100,000 BTU
GAS PIPING:(EA OUTLET)
REFRIG-.-1-100M BTU (NOT A/C OR HEAT PUMP)
REFRIG101-500M BTU .
REFRIG_..50171,000M BTU'
REFRIG.1,001-1,750M BTU
REFRIG+1,750M BTU •
HEAT.- -PUMP &,-AIR CONDITIONER 0 -3 -TONS _ _
HEAT PUMP & AIR: CONDITIONER.3-15 TONS _
"HEAT PUMP & AIR CONDITIONER 15-.30 TONS _
HEAT.PUMP'& AIR'CONDITIONER.30-50.TONS
HEAT PUMP & AIR CONDITIONER +50 TONS
VENTILATING FANS..
EVAPORATIVE COOLERS
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 <16,000 CFM
AIR HANDLER >10,000 CFM
= AMOUNT
x$?0.00
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:OC =
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 =
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE
SUBTOTAL
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
= $
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 9260 (509) 456-3675