1992, 11-06 Permit App: 92009854 Water HeaterJOB STREET ADDRESS:
:CITY/STAT (ZIP:
OWNER:
MECHANICAL PERMIT APPLICATION FORM
` Ir1Pormati•y Worksheet
e In...4
01
o2QSA'RCEL NUMBER:
PHONE NUMBER:
MAILING ADDRESS:
(Street)
CONTRACTOR: A&M QUALITY HEATING LICENSE NUMBER:
E. 1fTO1NDIANA AVE.
SPOKANE; WA 99216
MAILING ADDRESS:
(City/State) (Zip)
NQUAR41 Q 9141
PHONE NUMBER: 928-2100
(Street)
(City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
MBDESCRIPTION OF UNITS EAC
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
0-3 TONS
3-15 TONS
15-30 TONS
30-50 TONS
+50 TONS
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
VENTILATING
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
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 <10,000 CFM
AIR HANDLER >10,000 CFM
- AMOUNT
x$10.00 -
x 25.00 -
x 10.00 -
x 12.00.-
% 15.00 -
X 1.00 -
X 12.00,-
* 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 =
IA .610
NOTE: MINI
SIGNATURE
ERMIT FEE --IS $35-.00
SUBTOTAL
PLUS: PROCESSING FEE + $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
Silokane County Department of Building land Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675