1993, 05-20 Permit App: 93003782 Mechanical FixturesJOB STREET ADDRESS: S
CITY/STATE/ZIP: Spokane
MECHANICAL PERMIT APPLICATION FORM
Information Worksheet
919 Mariam Street �
WA PARCEL NUMBER: \-\ S 2 j ;
L- 6'
OWNER: Quinn , Jerome
MAILING ADDRESS: SAME
PHONE NUMBER: 928 3141
(Street)
CONTRACTOR: K-2 M echancial
MAILING ADDRESS:
(City/State) (Zip)
LICENSE NUMBER: KTWOMCI 170RM
PHONE NUMBER: 466 3040
N 20415 Austin Rd Colbert, WA
99005
DESCRIPTION
(Street)
(City/State)
MECHANICAL WORKSHEET/FEE SCHEDULE
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
WOODSTOVE/INSEIT...:><><
GAS WATER HEATER
GAS'EQUIPMENT <100000 ITU (INCLUDES
GAS EQUIPMENT +100,000 BTU DUCTWORK)
GAS: PIPING EA;OUTL,
.:.:........:............:...................:.:::.................:::::::::::.:.::.....
BOILER/REFRIG 1-100M BTU
BOILER/REFRIG 101-500M BTU
BOILER/REFRIG 501-1,000M BTU
BOILER/REFRIG1,00011,750M BTU
BOILER/REFRIG +1,750M BTU
,-Hweompz8,:iAtoiipolaTioNaR0 3 TONS
HEAT PUMP & AIR CONDITIONER 3-15 TONS
HEAT PUMP & AIR CI*7NDITIONER 1S 30 TONS:
HEAT PUMP & AIR CONDITIONER 30-50 TONS
HEATPUMP & AIR CONDITIONER, +50 TONS
VENTILATING FANS
EVAPORATIVE COOLERS
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
TYPi=11 H
:D
00
CLOTHES DRYER
GAS LOG
MISCELLANEOUS (NOT: COVERED ELSEWHER
UNLISTED GAS APPLIANCE <400,000 BTU
ULINSTED GAS APPLIANCE >400,000 BTU:;
USED APPLIANCE <400,000 BTU
USED APPLIANCE >401,000 ;BTU
AIR HANDLER <10,000 CFM
..............................................................................................
AIR ;HANDLER >10,000 :+SRM
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE
(Zip)
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
x 10.00 =
x 25.00 =
x 10.00 =
x12.00 =
x 15.00 =
x 1.00 =
x 12.00 =
x 20.00 =
x25.00 =
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 =
10.00
12.00
2.00
SUBTOTAL
$ 24.00
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
49.00
=$
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675