Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
1992, 12-15 Permit App: 92010941 Mechanical Fixtures
2- Ic't4( s I MECHANICAL PERMIT Worksheet FORM 9 _ Information JOB STREET ADDRESS: /1142/13,?---- CITY/STATE/ZIP: V//2/` -_CITY/STATE/ZIP: ce0/113-,.✓t /Ai sJI 95.294 PARCEL NUMBER: OWNER: ',Q 2F,cA/.✓ q PHONE NUMBER: / 9Zk965' MAILING ADDRESS: Al/62/0 p>ci: cpOl/a-,Lia- 16o s,Z' 99..2 (Street) (City/State) (Zip) CONTRACTOR: 4-/ 64 s sc e LICENSE NUMBER:4/6-4-CS /P0 trs pl r1 PHONE NUMBER: 3:26s- MAILING ADDRESS: W 9 y ,,1).0x 1/,/,aa Tad (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS UNIT =AMOUNT ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) x 10.00 = x 25.00 = GAS WATER HEATER J x 10.00 = / U x 12.00 = J92. GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 = 3 x 1.00 = 3 BOILER/REFRIG 1-100M BTU x 12.00 = : .: �"1111::: x 20.00 = BOILER/REFRIG 501-1,000M BTU x 25.00 = O0t40gF #B>114 't;:;.:y:MOM::.:VE::::::EM::.::.:I:::::.::.:: x 35.00 BOILER/REFRIG +1,750M BTU x 60.00 = �H c'�`` lu� �'Ate`+ 1�1i,�1...:1�.......l�..t)...�:...:QNB.........................:. x 12.00 = HEAT PUMP&AIR CONDITIONER 3-15 TONS x 20.00 = .............. x 25.00 HEAT PUMP&AIR CONDITIONER 30-50 TONS x 35.00 = x60.00 = VENTILATING FANS x 10.00 = x1 10.00 = TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) x 50.00 = x 10.00 = CLOTHES DRYER / x 10.00 = Jv xi 0.00 00 = GAS LOG x 10.00 = x10. 0 = >MI3 �trkAl�l*�OL� :.+�' CAY��:tf=�`t*tE`1Nkl > ><<>'><< 0 UNLISTED GAS APPLIANCE<400,000 BTU x 50.00 it)LtNSTEfITiASIAPPLIANCV*4001X)0:"Mms;""""'"""""""""""""""""'"' x100.00= USED APPLIANCE<400,000 BTU x 50.00 = x1000 0= .....................................................:...................................................................................... AIR HANDLER<10,000 CFM x 12.00 = : 1 = :,..;.., ;�;.:;;.;;::_: ..:: , ...;:..:.:�:>��::>;;flu( ><><>>> >`>`>`«<>> > ><> <' ` » «', x 500 SUBTOTAL $ 3S PLUS: PROCESSING FEE +$ 25.00 NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS: TOTAL PERMIT FEE DUE =$ 60.00 SIGNATURE Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675