1992, 02-12 Permit App: 92000780 Mechanical FixturesMECHANICAL PERMIT APPLICATION FORM
Information Worksheet
JOB STREET ADDRESS: 3616 S. Mercy Court
CITY/STATEIZIP:_ Spnkan_; WA 9.9206
OWNER: Rick S.t-eP1p PHONE NUMBER: 926-0329/922-6966 (wk)
5(-f
PARCEL NUMBER:
MAILING ADDRESS: Same
Sunlok, Inc. a6 treet) (City/State) SUNLOI107J6 (Zip)
CONTRACTOR:_____lnland Heating & Cooling LICENSE NUMBER: STTN 0T101.TB
PHONE NUMBER:
MAILING ADDRESS: 3655 Government Way Coeur d'Alene, ID 83814
(Street) (City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
DESCRIPTION
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
WOODSTOVE/INSERT
GAS WATER HEATER
GASEQUIPMENT<100,000 BTU (INCLUDES
GAS EQUIPMENT +100,000 BTU DUCTWORK)
GAS PIPING (EA OUTLET)
BOILER/REFRIG 1-100M BTU
.................................................................................................... ....
BOILER/REFRIG 101 500MBTU
BOILER/REFRIG 501-1,000M BTU
BOILER/REFRIG 1,0001;-1,750M BTU ..
BOILER/REFRIG +1,750M BTU
HEAT PUMP. AIR CONDITIONER 0-3 TONS
HEAT PUMP & AIR CONDITIONER 3-15 TONS
HEAT PUMP t& ►IR 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 Ili HOOD ,
CLOTHES DRYER
RANGE
GAS LOG
MISCELLANEOUS (NOT COVERED ELSEWHERE
UNUSTED GAS APPUANCE <400.000 BTU
UUNSTED GAS APPUANCE >400.000 BTU
USED APPUANCE <400,000 BTU
USED APPUANCE >400,000 BTU
AIR HANDLER <10.000 CFM
AIR HANDLER >10,000 CFM:
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
1
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 =
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