1993, 06-08 Permit App: 93004475 Mechanical FixturesMECHANICAL PERMIT APPLICATION FORM 2-7
g- Information Worksheet
JOB STREET ADDRESS:
CITY/STATE/ZIP: Q g a D PARCEL NUMBER: p p
OWNER: /�L(.(/ (�L J Q PHONE NUMBER: � l� �1 O
MAILING ADDRE S:
(Street) (City/State) (Zip)
CONTRACTOR:
MAILING ADDRESS:
ASPM QUALITY -HEATING LICENSE NUMBER: Asivkain4N:
E. MINDIAWAVE.
SPOKANE, WA 99216
PHONE NUMBER: 928-2100
(Street)
(City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
CH
OFUNITSITS R EUUNITT
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
HEAT PUMP & AIR CONDITIONER 0-3 TONS
HEAT PUMP & AIR CONDITIONER 3-15 TONS _
HEAT PUMP & AIR CONDITIONER 15-30 TONS
HEAT PUMP & AIR CONDITIONER 30-50 TONS _
HEAT PUMP & AIR CONDITIONER +50 TONS _
VENTILATING 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
1
= 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 =
/000
S.1'Do
,Loo
, O n
SUBTOTAL
$ 3/,Oo
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT //
NOTE: MI I�kMU ` IT • EE IS $35.00 FEE DUE _ $ (O �• O o
SIGNATURE
!
Spokane County Department of Buildinl'and Safety
West 1026 Broadway Avenue Spokane, WA 99260 (509) 456-3675