1992, 02-12 Permit App: 92000778 Mechanical Fixtures2085 -
(� oS 2� C MECHANICAL PERMIT APPLICATION FORM
L 0 3 Information Worksheet
JOB STREET ADDRESS: 3807 S. Mercy Drive
CITY/STATE/ZIP:_ Spokane, WA 99206 PARCEL NUMBER:
OWNER: Diane Ragan PHONE NUMBER: 926-3624/ 926-1922 (wk. )
MAILING ADDRESS: Same
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Sunlok dba
CONTRACTOR: inia
■ • ■ -
(Street)
• •
(City/State) (Zip)
SUNLOI107J6
LICENSE NUMBER: SUNLOI101JB
PHONE NUMBER: (208) 664-4153
MAILING ADDRESS: 3655 Government Way Coeur d'Alene, ID 83814
(Street)
(City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER
OF UNITS
DESCRIPTION
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 101-500M'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 & IR: CONDITIONEfl 15-30 TONS.
HEAT PUMP & AIR CONDITIONER 30-50 TONS
HEATPUMP & AIR CONDITIONER+50 TONS
.
VENTILATING FANS
EVAPORATIVE COOLERS .. .
TYPE 1 HOOD (PER 12' OR 12' PTN. OF HOOD)
TYPEI 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,
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 =
x 25.00 =
x 35.00 =
x 60.00 =
x 10.00 =
x 10.00 =
x 50.00 =
x 10.00 =
x 10.00 =
x10.00 =
x 10.00 =
x 10.00 =
x 50.00 =
x100.00
x 50.00 I.
x100.00
x 12.00 =
x 15.00 =
10.00
12.00
?._00
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE__ ,--
SUBTOTAL
S
PLUS: PROCESSING FEE
24.00
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
=S 49.00
Spokane County Division of Buildings
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