1992, 02-12 Permit App: 92000777 Mechanical Fixtures3a S qt - Ito I 0 incl MECHANICAL Pfl tMtl T APPLICATION FORM LI a ^ / / /
.01(\de`iO3A- L to 6--a Information Worksheet 55(.0
JOB STREET ADDRESS: 3607 S. Mercy Court
CITY/STATE/ZIP: Spokane, WA 99206 PARCEL NUMBER:
OWNER: Ross Milliken PHONE NUMBER: 928-9245
MAILING ADDRESS: .SinmP
Sunlok dba
CONTRACTOR: inland Hearing & Cnnling
(Street)
(City/State) SUNOI107J6
LICENSE NUMBER: SUNOI101JB
(Zip)
PHONE NUMBER: 208 664-4153
MAILING ADDRESS: 1655 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)
WOODSTOVE/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 X01-500M`BTU
BOILER/REFRIG 501-1,000M BTU
BOILER/REFRIG 1,0001-1,750M
BOILER/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 1 HOOD(PER 12' .,.
OR 12' PTN. OF HOOD)
TYPE II MIIOOD ... `
CLOTHES DRYER
RANGE
GAS LOG
MISCELLANEOUS (NOT COVERED ELSEWHERE
UNLISTED GAS APPUANCE <400,000 BTU
UUNSTED GAS APPUANCE >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 =
x10.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 50.00 =
x100.00 =
x 50.00 -
X100.00 -
x12.00 =
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
=S 49.00
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675