1992, 09-23 Permit App: 92007965 Mechanical FixturesMECHANICAL PERMIT
Information
JOB STREET ADDRESS:
CITY/STAT✓%w E,/�Z,/IP: \ JAM
99a /6
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OWNER: L( 7z1'aQa-rtern-
1
MAILING ADDRESS:
APPLICATION FORM
Worksheet
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PARCEL NUMBER:
PHONE NUMBER: 9a� - Yas3
(Street) (City/State) (Zip)
CONTRACTOR: A&M QUALITY HEATING LICENSE NUMBER: ANpuAN111a1N1
E. 101 INDIANA AVE.
SPOKANE; WA 99216
MAILING ADDRESS:
PHONE NUMBER: 928-2100
(Street) (City/State)
(Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
DESCRIPTION OF UNITS UNIT
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 a
x 12.00 -
x 15.00 a
X 1.00 a
X 12.00.a
x 20.00 a
x 25.00 a
x 35.00
x 60.00 a
x 12.00
x 20.00 a
x 25.00 a
x 35.00 a
x 60.00
x 10.00 a
x 10.00
x 50.00 a
X 10.00 a
x 10.00 a
x 10.00
x 10.00 a
x 10.00 a
x 50.00 a
x100.00
x 50.00
x100.00 a
X 12.00 =
x 15.00
/as00
NOTE: M�II UM PE'/ T FEE IS $35.00
SIGNATUREce
SUBTOTAL
PLUS: PROCESSING FEE + $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE = $ 3 760
Spokane County Department of Buddingsand Safety
West 1303 Broadway Avenue Spokane, WA 260 (509) 456-3675