1991, 10-01 Permit Application: 91006376 Mechanical FixturesMECHANICAL PERMIT APPLICATION FORM
Information Worksheet
JOB STREET ADDRESS: '4YWO,
CITY/STATE/ZIP: ,j PARCEL NUMBER:
OWNER: PHONE NUMBER:
MAILING ADDRESS:
(Street) (City/State) (zip)
CONTRACTOR: Heat Transfer Inc. LICENSE NUMBER: Heatti-1881n
PHONE NUMBER:
328-3400
MAILING ADDRESS: N. 1008 Ruby Spokane, WA 99202
(Street) (City/State) (zip)
DESCRIPTION
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
OF UNITS UNIT
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
x 10.00
WOOE)STOVE/INSr=RT,*-'-'-:-"--'::: .............
... . . .......
x 25.00
GAS WATER HEATER
x 10.00
GAS EQUIPMENT <100,000 BTU (INCLU t
x 12.00 =
GAS EQUIPMENT +100,000 BTU DUCTWORK)
x 15.00 =
.GAS PIPING (EA OUTLET).::....
x 1.00 =
BOILER/REFRIG 1-100M BTU
x 12.00 =
..... 66m-.. ................. .... .... .
"POILF
-Rio rRIG 1P.....
.. ...::>,::.}.:;>:.....::<::.. . . . . .....
. ......
x 20.00 =
BOILERIFIEFRIG 501-1,000M BTU
x 25.00 =
...........
...........
BOILERIREFRIG1 0.1" ............
x 35.00 =
BOILER/REFRIG +1,750M BTU
x 60.00 =
HEAT PUMP & AIR CONDITIONER 0 -m.' -:T'-0* NS
x 12.00 =
HEAT PUMP & AIR CONDITIONER 3-15 TONS
x 20.00 =
HEAT PUMP & AIR CONDITIONER 1.5-30 TONS
x 25.00 =
HEAT PUMP & AIR CONDITIONER 30-50 TONS
x 35.00 =
HEAT PUMP & AIR CONDITIONER +50 TONS
x 60.00 =
VENTILATING FANS
x 10.00 =
............. . .. .....
........... .. ....
EVAPORATIVE COOLER . .........
x 10.00 =
TYPE I HOOD (PER 12' OR 12'PTN. OF HOOD)
x 50.00 =
TYPE II HOOD A
x 10.00 =
.CLOTHES DRYER
x 10.00 =
.... ......... . ...........
x 10.00 =
GAS LOG
x 10.00 =
EO S:(NOTCO RED" --EL--'--' f
x 10.00 =
UNLISTED GAS APPLIANCE <400,000 BTU
x 50.00 =
. . .............
. .. .............
ULINSTED GAS APPLIANCE> -4 $066�M��f
00
. ...... I ..... ..... ... . . ....
x100.00 =
USED APPLIANCE <400,000 BTU
x 50.00 =
USSt3 AP>>AN,t300. ...Til x100.00 =
AIR HANDLER <10,000 CFM x 12.00 =
.. .... ..........
::::;:.»;>::>;:»<.:>::>::::::«;:::>::;::::;}}}:::::;::;
.. .............
FM
R ob*
x 15.00
=AMOUNT
SUBTOTAL 1 $ �&�
PLUS: PROCESSING FEE 1+$ 25.00
NOTE: MINIMUM PERMIT FEE IS $35.00 EQUALS: TOTAL PERMIT
FEE DUE $
SIGNATURE
Spokane County Division of Buildings
West est 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675