1992, 10-06 Permit App: 92008450 Water Heater, PipingJOB STREET ADDRESS:
CITY/STATE/ZIP:
OWNER:
MECHANICAL PERMIT APPLICATION FORM
Information Worksheet
S& tL /96C /.1. -1e,2-1 2-8150
99a/6
PARCEL NUMBER:
PHONE NUMBER: 9‘?6. f8 9a
MAILING ADDRESS:
(Street)
A&M QUALITY HEATING
E. 101-01NDANA AVE.
SPOKANE; WA 99216
MAILING ADDRESS:
CONTRACTOR:
(City/State) (Zip)
LICENSE NUMBER: 4JIQIAH8791NI
PHONE NUMBER:
(Street)
928-2100
(City/State)
(Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE .•
NUMBER X EACH
OF UNITS UNIT
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
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
VENTILATING
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 -
x 12.00,-
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
/0.00
oo
NOTE: M y. FUM PE IT FEE I $35.00
SIGNATURE /// /. ,•'�.�
Spokane County Department of Building 'and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
SUBTOTAL
$ la.00
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
= $ 37.Oo