1992, 02-13 Permit App: 92000806 Mechanical Fixtures_fid, MECHANICAL PERMITAPPLICATION FORM a -0 c3-tP
e,c(c R 3 : g- Infc :nation Worksheet
JOB STREET ADDRESS: 3606 S. Mercy Court ,j
CITY/STATEIZIPSpokaI3e IDCH01 PARCEL NUMBER:
OWNER: Mike Chiacchia PHONE NUMBER: 926-0008
MAILING ADDRESS: Same
Sunlok dba (Street) (City/State) SUN10I107J6 (Zip)
LICENSE NUMBER: SUNLOI101JB
CONTRACTOR: Inland Heating & Cooling
PHONE NUMBER: 208-664-4153
MAILING ADDRESS: 3655 Government Way Coeur d'Alene ID 83814
DESCRIPTION
(Street)
(City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
WCODSTOVE/INSERT
GAS WATER HEATER
GAS EQUIPMENT <100,000 BTU (INCLUDES
GAS EQUIPMENT +100,000 BTU DUCTWORK)
GAS PIPING (EA OUTLET).
BOILER/REFRIG 1-100M BTU
BOILER/REFRIG;101-500M ;BTU
BOILER/REFRIG 501-1,000M BTU
BOILER/REFRIG 1,0001; 1,750M.BTU
BOILER/REFRIG +1,750M BTU
HEAT PUMP :AIR CONDITIONER (:)...:1:7r Ns
HEAT PUMP & AIR CONDITIONER 3-15 TONS
HEAT PUMP &AIR CONDITIONER `1.5-30 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 11 HOOD ;
CLOTHES DRYER
RANGE
GAS LOG
MISCELLANEOUS (NOT COVERED ELSEWHERE
UNUSTED GAS APPUANCE <400.000 BTU
UUNSTED GAS APPLIANCE >400,000 BTU
USED APPUANCE <400,000 BTU
USED APPLIANCE >400,000 BTU
AIR HANDLER <10,000 CFM
AIR HANDLER >10,000 CFM
1
2.
x 10.00 =
x 25.00 =
x 10.00 =
x 12.00 =
x 15.03 =
x 1.00 =
x 12.00 =
x 20.00 =
x 25.00 =
x 35.00 =
x 60.00 =
x 12.00 =
x 20.00 =
x25.00 =
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 -
x50.00 =
x100.00 =
x 12.00 =
x 15.00 =
10 00
12.00
2 00
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE
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