1990, 10-18 Permit App: 90004763 Mechanical Fixtures��,ti.w•r--.,_"MOT -,•,.rte.-Jnr-:1,-r��,<..^,.-r"CI
.
MECHANICAL PERMIT APPLICATION FORM
t i formatibr( Wdrks A et
JOB STREET ADDRESS: AA %-%iLLp2
CITY/STATE/ZIP: eani Lda__ Ri0/6 PARCEL NUMBER:
OWNER: K. aed,j6tf�rm
MAILING ADDRESS:
PHONE NUMBER: 67 ., Co //ldi
(Street)
CONTRACTOR: Ala. / O L%9i . /Aid -
7
MAILING ADDRESS: J/ 5/6q A e.
(City/State) (Zip)
LICENSE NUMBER: AA5V/JI/4/1/0/7/
PHONE NUMBER: 9c.2e/ » /
(Street)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER
DESCRIPTION OF UNITS
X EACH
UNIT
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER
HEATING EQUIPMENT <100,000
HEATING EQUIPMENT +100,000
GAS PIPING (EA OUTLET)
BTU
BTU
REFRIG 1-100M BTU (NOT A/C
REFRIG 101-500M BTU
REFRIG 501-1,000M BTU
OR HEAT PUMP)
REFRIG 1,001-1,750M BTU
REFRIG +1,750M BTU
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
VENTILATING
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
FANS
0-3 TONS
3-15 TONS
15-30 TONS
30-50 TONS
+50 TONS
EVAPORATIVE COOLERS
TYPE I HOOD (PER 12' OR 12'
TYPE II HOOD
CLOTHES DRYER
RANGE
GAS LOG
PTN. OF HOOD)
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 =
x 12.00 =
x 15.00 =
X 1.00 12
x 12.00 im
x 20.00 =
x 25.00 =
x 35.00 =
x 60.00 =
x 12.00 =
x 20.00 =
x 25.00 =
X 35.00 =
x 60.00 =
x 10.00 =
x 10.00 =
x 50.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 50.00 =
x100.00 =
x 50.00 =
x100.00 =
x 12.00 =
x 15.00 =
/02.00
/.Oa
SUBTOTAL
$ /.3. co
PLUS: PROCESSING FEE + $ 25.00
EQUALS: TOTAL PERMIT
NOTE: MINIMUM PERMIT FEE IS $35.00 FEE DUE
SIGNATURE
=
Spokane County Department of Building_ and Safety
West 1303 Broadway Avenue Spokane, WA 9260 (5 9) 456-3675