1992, 10-21 Permit App: 92009202 Mechanical FixturesJOB STREET ADDRESS:
CITY/STATE/ZIP: (51,1►,: 1
nip OWNER: Ip ,Ue4;4er& iu
MECHANICAL PERMIT APPDCA11ON FORM
Information Worksheet �%n�
�;Z r' Ludt Ile 81/40
PARCEL NUMBER:
PHONE NUMBER: cpq'
MAILING ADDRESS:
(City/State)
CONTRACTOR: Heat Transfer Inc. LICENSE NUMBER: Heatti-188In
(Street)
(T p)
PHONE NUMBER: 3 28-3400
MAILING ADDRESS: N. 1008 Ruby Spokane, WA 99202
(Street) (City/State)
MECHANICAL WORKSHEET/FEE SCHEDULE
DESCRIPTION
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
WOODSTOVE/INSERT ..
GAS WATER HEATER
GAS EQUIPMENT::<100;000 BTU:(INCLIJDES,'<) <;
GAS EQUIPMENT+100,000 BTU DUCTWORK)
GAS PIPING.(EA OUTLET)
BOILER/REFRIG 1-100M BTU
BOILER/REFRIG 101=500M8TU`:::.:;
BOILER/REFRIG 501-1,000M BTU
BOILERIREFRIG1.,0001.-t,750M BTU
BOILER/REFRIG +1,750M BTU
HEAT PUMP & AIR CONDITIONER 0-3
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)
CLOTHES DRYER
'RANGE `:` _ `
GAS LOG
MISCELLANEOUS (NOTCOVEREO ELSEWHERE- I: >'.
UNLISTED GAS APPLIANCE <400,000 BTU
.ULINSTED:GAS'APPUANCE>400,000 BTU.:
USED APPLIANCE <400,000 BTU
USED APPUANCE�z40Q,000 BTU
AIR HANDLER <10,000 CFM
AIR:HANDLER>101000:CFM :>` ;::'.s::'.i
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE
(Zip)
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
x 10.00 =
x 25.00 =
'
x 10.00 =
/0 . Q?
x 12.00 =
/„),j)0
x 15.00 =
ri
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 =
x10.00 =
x 50.00 =
x100.00 =
aY" ea
x 50.00 =
x100.00 =
x 12.00 =
x15.00 =
SUBTOTAL $7211 , 00
PLUS: PROCESSING FEE + $ 25.00
EQUALS: TOTAL PERMIT- (' q 156
FEE DUE $ 7 /
Spokane Co my Division of Buildings
West 1303 Broadway Avenue pokane, WA 99260 (509) 456-3675