1990, 09-20 Permit App: 90004786 Water HeaterMECHANICAL PERMIT APPLICATION FORM
Informa i op Worksheet
JOB STREET ADDRESS: 7220 E. Maxwell
CITY/STATE/ZIP: Spokane, Wa 99212
OWNER: Mrs. Krous
MAILING ADDRESS: 7220 E. Maxwell
%32.52. pSaS_
/U:t / L
PARCEL NUMBER: ,C..,G /SS"
PHONE NUMBER: 924-9716
CONTRACTOR: Norco
(Street)
Spokane, Wa 99212
(City/State) (Zip)
Heating & Air Cond. Co. LICENSE NUMBER: NORCOHA17ORZ
PHONE NUMBER: 534-4975
MAILING ADDRESS: 5051 E. Trent
(Street)
Spokane, Wa. 99212
(City/State) (Zip)
„.sIDAMI2 rixo.a*r
MECHANNICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
OF UNITS UNIT
DESCRIPTION
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 & AIR CONDITIONER
HEAT PUMP &.AIR CONDITIONER
HEAT PUMP & AIR CONDITIONER
HEAT PUMP ,& AIR CONDITIONER
HEAT PUMP & AIR CONDITIONER
VENTILATING 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
PTH. 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
X
= AMOUNT
x$10.00 =
x 25.00 =
x 10.00 =
x 12.00 =
x 15.00 =
x 1.00 =
:: 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 =
10_00
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE
SUBTOTAL
$ 10.00
PLUS: PROCESSING FEE
$ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
$ 35.00
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (5 9) 456-3675