1992, 07-16 Permit App: 92005357 ACi519A. 1-kao5
L -o
ITA 5
JOB STREET ADDRESS:
CITY/STATE/ZIP:
OWNER:
MAILING ADDRESS:
r
Q12-5357
MECHANICAL PERMIT APPLICATION FORM
Information Worksheet
E. 0
/36/7 ;n€: -'
WA / 9.2/LpARCEL NUMBER:
PHONE NUMBER: 9a l/- s3 a 6
CONTRACTOR:
(Street)
A&M QUALITY HEATING
E. 1fi TdlNGIANA AVE.
SPOKANE; WA 99216
MAILING ADDRESS:
(City/State) (Zip)
LICENSE NUMBER: AMOVIANY 19 AN
PHONE NUMBER: 928-7100
(Street)
(City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
OF UNITS [MIT.
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 1,001-1,750M BTU
REFRIG +1,750M BTU
AIR CONDITIONER 0-3 TONS
AIR CONDITIONER 3-15 TONS
AIR CONDITIONER 15-30 TONS
AIR CONDITIONER 30-50 TONS
AIR CONDITIONER +50 TONS
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
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
VENTILATING
- AMOUNT
410.00 -
x 25.00 a
X 10.00 -
x 12.00.E
x 15.00 a
X 1.00 -
x 12.00,a
x 20.00 a
x 25.00.a
x 35.00 a
x 60.00 -
x 12.00 a
x 20.00 a
x 25.00 a
x 35.00 a
x 60.00 a
x 10.00 a
x 10.00 a
x 50.00 a
x 10.00 -
x 10.00 a
X 10.00 a
x 10.00 -
x 10.00 a
x 50.00 a
x100.00 -
x 50.00 a
x100.00 a
x 12.00 a
x 15.00 a
NOTE: MINIMUM PE
SIGNATURE
E�S.00
SUBTOTAL
$ /Loo
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE = $ 37,00
Spokane County Department• of Building:and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675