1992, 06-09 Permit App: 92004159 Mechanical Fixtures/-
MECHANICAL
MECHANICAL PERMIT APPLICATION FORM
Information Worksheet,
JOS STREET ADDRESS: ¢"a !o15
C\ -X15`1
10-17
CITY/STATE/ZIP: 21044441.V tV WA 902O6 PARCEL NUMBER:
PHONE NUMBER: 9a 81 a 3 3 o
OWNER: p&-6L4.�y E 4:404.4- c -
MAILING ADDRESS:
CONTRACTOR:
(Street)
ARM QUALITY HEATING
E. 1E. lfrItrnit At/E.
SPOKANE; WA 99216
MAILING ADDRESS:
(City/State)
LICENSE NUMBER: AMQnANR1QDN1
PHONE NUMBER: 928-2100
(Street)
(Zip)
(City/State)
(Zip)
MECHANICAL
DESCRIPTION
WORKSHEET/FEE SCHEDULE
NUMBER
OF UNITS
xUNIT
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 HEAT PUMP)
REFRIG 101-500M BTU
REFRIG 501-1,000M BTU
REFRIG 1,001-1,750M BTU
REFRIG +1,750M BTU
AIR CONDITIONER 0-3 TONS
AIR CONDITIONER 3-15 TONS _
AIR CONDITIONER 15-30 TONS _
AIR CONDITIONER 30-50 TONS
AIR CONDITIONER +50 TONS
FANS
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
VENTILATING
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 <10,000 CFM
AIR HANDLER >10,000 CFM
eV -
AMOUNT
x$10.00 a
x 25.00 a
x 10.00 a
x 12.00. .
x 15.00 a
x 1.00 a
x 12.00,a
X 20.00 s
x 25.00 es
x 35.00 a
x 60.00 s
x 12.00 a
x 20.00 a
x 25.00 0
x 35.00 a
x 60.00 a
x.10.00 w
x 10.00 as
x 50.00 n
x 10.00
x 10.00 0
x 10.00
x 10.00
x 10.00 a
x 50.00 a
x100.00 w
x 50.00 0
x100.00
x 12.00
x 15.00 0
I .'OO
/a, 00
,2,00
NOTE: MI M 9, IT `IEE S35.00
SIGNATURE /
SUBTOTAL
$ ,24,00
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT �/
FEE DUE _' $ 79.00
Spokane County Department of Buildingqland Safety
1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
1