1992, 05-07 Permit App: 92003177 Mechanical FixturesJOB STREET
ADDRESS:
CITY/STATE/ZIP:
OWNER: Xa,1,1 Q )
-MECHANICAL PERMIT APPLICATION FORM
Information Worksheet
/De S
coq,98
go -31-77
/Col A 99,206 PARCEL NUMBER:
PHONE NUMMI 5.-35- 926 g
MAILING ADDRESS:
(Street)
(City/Stat..) (Zip)
CONTRACTOR: A&M QUALITY HEATING , LICENSE NUMBER: _AmiljakirtQW1
E.1Io(JANA ME. PHONE NUMBER: !il-21/N1
• SPOKANE; WA 99218
MAILING ADDRESS:
(Street)
(City/Stag)
(Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
DESCRIPTION
OF UN %INK
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER
HEATING EQUIPMENT <100,000 STU
HEATING EQUIPMENT +100,000 BTU
GAS PIPING (EA OUTLET)
REFRIG 1-100M BTU (NOT A/C OR HEAT PUMP)
REFRIG 101-500M STU
REFRIG 501-1,00014 BTU
REFRIG 1,001-1,750M BTU
REFRIG +1, 750!4 BTU
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
VENTILATING
EVAPORATIVE
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
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
x 12.00.
X 15.00 -
x., 1.00 •
X 32.00..
X 20.00 0
x 25.00 :0,
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 30.00 -
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 -
.00
co
/D. O f�
NOTE: M,I)1IM ;, P IT IS $35.00
SIGNATURE
SUBTOTAL
S '/7, 0 0
PLUS: PROCESSING FEE + $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE _ $ 7,,-Oc
Spokane County Department: of Buitdinq'and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675