1990, 11-13 Permit App: 90006111 Mechanical FixturesMECHANICAL PERMIT: AFPI.)CAT ON FORM
Information Worksheet
30B STREET ADDRESS: 5,357/0 5 S/) -0.411eO7
CITY/STATE/ZIP: 5
OWNER:, ILl (7�►(s
MAILING ADDRESS: SitlAte
(Street)
CONTRACTOR did_ ,/l C
MAILING ADDRESS:
PARCEL NUMBER:'
PHONE NUMBER:
C
(City/State) (Zip)
NSE NUMBER:Ark M_ till z P
ONE NUMBER:fts? - 7.
xj' 11%24$441
(Street) (City/State) (Zip)
MECHANICAL;WQEKSHEET/FEE SCHEDULE
DESCRIPTION
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 1,001-1,75 BTU-
REFRIG +1,750M BTU ,
HEAT PUMP & AIR CONDTT„TONER 0-3 TONS
HEAT PUMP `°& AIR CONut ER 3-15 TOWS
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' 5R-12' PTN. OP*H D
TYPE II HOOD
IMMO
4,1116.
.111.14
CLOTHES DRYERi
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
OF UNITS
X EACH
UNIT
= 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 =
ix..35A00 =':.
x 60.00
x12.00=
x20.00=
x 25.00 =
x 35.00 =
x 60.00 =
x 10.00 =
x 10.00 =
x 50.00 =
x 10.00
x 10..620-
x 10.00
x 10.00
x10.00=
x 50.00 =
x100.00
x 50.00
x100.00 =
x 12.00 =
.x 15.00
SIGNATURE
Spokane CouDepartment of Building_ and Safe
West 1303 Broadway Avenue Spokane, WA 99260 (5 9) 456-3675