1991, 10-17 Permit App: 91006875 FurnaceJOB STREET ADDRESS:
CITY/STA
OWNER:
/ZIP:
MECHANICAL PERMIT APPLICATION FOR
Informat'on Works
MAILING ADDRESS:
CONTRACTOR:
CEL NUMBER: _
PHONE NUMBER: Q (, b '"S 3'-5-1
(Street)
A&M QUALITY. HEATING
E lgrinl1/4IDIANKAVE.
SPOKANE, WA 99216
MAILING ADDRESS:
(City/State)
LICENSE NUMBER: AM011AHR1 43N 1
PHONE NUMBER:
(Street)
(Zip)
928-2100
(City/State)
(Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
OF UNITS UNIT
DESCRIPTION
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER
HEATING EQUIPMENT <100,000
HEATING EQUIPMENT +100,000
GAS PIPING (EA OUTLET) _ _
REFRIG 1-100M BTU (NOT A/C
REFRIG 101-500M BTU
REFRIG 501-1,000M BTU_
REFRIG 1,001-1,750M BTU
REFRIG +1,75bM BTU
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
FANS
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
VENTILATING
EVAPORATIVE
0-3 TONS _
3-15 TONS
15-30 TONS
30-50 TONS
+50 TONS
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
tIR HANDLER >10,000 CFM
= AMOUNT
x$10.00 -
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 12.00 =
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 -
NOTE: MII31
SIGNATURE
RMIT.FEE IS $35.00
SUBTOTAL
$ la -0
PLUS: PROCESSING FEE + $ 25.0C
EQUALS: TOTAL PERMIT
FEE DUE
Spokane County Department of Building"and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675