1992, 07-17 Permit App: 92004851 Mechanical Fixtures•
MECHANICAL PERMIT APPLICATION FORM
tOr133 tion Worksheet
JOB STREET ADDRESS:
CITY/STAT I P: .K3414)- J4 ` 4
OWNER: t .,f.- . r
MAILING ADDRESS:
/:l.,
CONTRACTOR:
MAIUNG ADDRESS:
PARCEL NUMBER:/
PHONE NUMBER: , : I Oc �7C
,,, A(Street)
>t{ (City/State) (ZiP)
ransfier Inc.-
LICENSE NUMBER:. eatti-1881n
PHNE NUMBER. 328-3400
,,,,••
1008 Ruby w>:pokane WAS 99202
(Street) 3 (City/State)
,z
MECHANICAL WOR
ti
DESCRIPTION
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
700:06:07104M, fithee
GAS WATER HEATER
��PME :k .• i eye : � e '
GAS EQUIPMENT+100,000 BTU DUCTWOR
GAS PIPING (EA OUTLE
.,. ....:., .....: ...'.. .w.A.:: L,.......� .:::...,, .:.;...vn......:::hid
BOILER/REFRIG 1-100M BTU
BOILER/REFRIG 501-1,000M BTU
{
hi<iGi:k
:z•
fay.:
BOILER/REFRIG +1,750M BTU
HEAT;PUMp AIF 6 t `i 'S"ib ...”
HEAT PUMP & AIR CONDITIONER 3-15 TONS
HEAT PUMP}>.AtfL�,,,(),,T.ONEf 15,30 ONS}
HEAT PUMP & AIR CONDITIONER 30-50TONS
HEAT PUMP & AIR CONDJTIONER t50'T---11,...06-;NSl -
VENTILATING FANS
EVAPORATIVE G•OOLE � �.°} ;:`:`_ ` 4.
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
TYPE II.HOOD:i>�y::;.::.:::':c,;;.•.N„�:.: L::.:y:
.6�a::'+.:sy<;`3�w?c:.e.L,�iJ'..o:;c;L.•:}:••::f '`:fi.
CLOTHES DRYER
AY v^':iy10:•'LIXK. •':bi'.+LL:S4}}}.,-..n•:a^.v.:vr::.x:..:,
R G....:.......: `v$3xt:i� w , i..'b....:.iiifi:::}4? ' � •.'w�',
GAS LOG _
. UNLISTED GAS 'APPLIANCE <400,000 BTU
USED APPLIANCE <400,000 BTU
wels
AIR HANDLER <10,000 CFM
SAND
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATUR
NUMBER
OF UNITS
X EACH,
I UNIT qi
= AMOUNT
x10.00'=
x 25.00 =
x 10.00 =
x 12.00 =
x15.00'
x 1.00 =
x 12.00 n
x 20.00 = 1; M
x25.00 =
x 35.00%
x60.00
x 12.00 =
x 20.00 =
x 25.00 =
x 35.00 =
x60.00 =
x 10.00 =
0
/r'-
l
`,? -
x 10.00 =
x 50.00 =
x 10.00 =
x 10.00 =
x10.00 =
x 10.00 =
x10.00 uu
x 50.00 ='
x100.00 22
X 50.00
x100.00 -
x 12.00 =
x 15.00 =
l
SUBTOTAL
$ ce'y
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
= s8.4
JUN 2:Q 1992
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675