1992, 11-30 Permit App: 92010458 Mechanical FixturesMECHANICAL PERMIT APPLICATION FORM iJSK(S 1S7.
Information Workshee//t��
JOB STREET ADDRESS: 1 te - 0C/_1 S` r,c� ♦-. I t. Q 131 /
CITY STATE/ZIP: i eta Y'�
2, ARCELeUMBER: 44 (i . U'J/o
OWNER: i m 0 W e n PHONE NUMBER:
MAIUNG ADDRESS: J
(Street)
-CONTRACTOR: Aqua Mechanical
MAILING ADDRESS:
2407 E. Euclid
(City/State) (ZIP)
LICENSENUMBER:- AnrTAMAR1 a0Qt_
PHONE NUMBER: 487-0103
Spokane, WA 99207
DESCRIPTION
(Street) • (City/State)
MECHANICAL WORKSHEET/FEE SCHEDULE
(ZIP)
NUMBER
OF UNITS
X.EACH
• UNIT
= AMOUNT
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS
GAS WATER HEATER
GAS EQUIPMENT+100,000 BTU DUCTWORK).
HEAT.PUMP. & AIR CONDITIONER 30-50 TONS
VENTILATING FANS
TYPE I HOOD (PER 12' OR •12' :PTN. -OF HOOD)
CLOTHES DRYER •
GAS LOG
UNUSTED GAS APPLIANCE <400,000 BTU
USED APPUANCE <400,000 BTU
AIR HANDLER <10,000 CFM
x.10.00 =
x25.00 =
x10.00 =
x•12.00
:x;15.00' _
1C-1•00 s
• 0200
x20.00_
• x•25.00:
x35.00 :� •
X60.00 =.
X.1200=
x20.00.=
r -
2400 :a
x35:00.:
=x60.00 r
x 10.00
>x X4.00':
,x10.00
x.10.00 a=::
xi moo
x 10.00
x10.00`=
x 50.00 :z
x100.00
x 50.00
x100.00 =
x 12.00 .=
x 15.00 •= :.
NOTE MINIMUM PERMIT FEE IS $35.00
SIGNATU
SUBTOTAL
$
PLUS: PROCESSING FEE
+ i 25.00
EQUALS: TOTAL PERMIT
FEE DUE
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
•