1989, 10-02 Permit App: 89003711 Heating EquipmentMECHANICAL PERMIT APPLICATION FORM
Information Worksheet
JOB STREET ADDRESS: e-,72,1
CITY/STATE/ZIP: Sy g 2,,., /1,11.... 79a/2. PARCEL NU! ER: 0405--4/e-E?1 Z --
OWNER: Ca„ itz,
MAILING ADDRESS: f. '7f1/ }e4.2
(Street)
PHONE NUMBER: 9a a - /r7 7
CONTRACTOR: fiNQERSe.J's SMEcrr mETfK-
MAILING ADDRESS: . /3r0.3 7:144,21"
(Street)
En...,,� cJ,r, . 9 fa%
(City/State) (Zip)
LICENSE NUMBER: Ant Die sty) /8sN z -
PHONE NUMBER: 9a/ - 0 76v
(City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
OF UNITS UNIT
DESCRIPTION
= AMOUNT
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER
HEATING EQUIPMENT <100,000 BTU
HEATING EQUIPMENT +100,000 BTU
GAS PIING (5 OR MORE. EACH:)
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 &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
VENTILATING
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
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
x$10.00 =
x 25.00 =
x 10.00 =
x 12.00 =
x 15.00 =
x . 1.00 -
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 =
, ao
SUBTOTAL
$ 1a ao
PLUS: PROCESSING FEE
+ $ 25.00
NOTE: MINIMUM PERM T FEE I8 $35.00
SIGNATURE`
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
EQUALS: TOTAL PERMIT
FEE DUE
= $ 37.+0
Ck 41975