1994, 11-03 Permit App: 94011005 Water Heater.avr-d ion Worksheet �D
JOB STREET ADDRESS:. 13 6 ,`� 1c} -,i ce / 1 c_
6-10-1,100')
CITY/STATE/ZIP:__-.:L_22 f 'Z. * PARCEL NUMBER:
OWNER: ON J E2 PHONE NUMBER: 92 7 -' ✓ 7 /
MAILING ADDRESS:
(Stre t)
Dakps r6(i,Blit' ,► LICENSE
CONTRACTOR..
PHONE
MAILING ADDRESS:
370 E y2�c,
(Street)
MECHANICAL WCRX .ET/FEE SCH:.cDULE
NUMBER X EACH
OF UNITS UNIT
x$10.00 =
x 25.00 =
x 10.00
x 12.00 =
i.
x =
x 1.CC =
x 12.00 =
:c 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 =
FTN. i x 50.00 =
x100.00 =
x100.00 =
(City/State) (Zip)
NL-MBER: exi SP f $3 'i
SPok'-Aver Lt49 9r24,
(City/State)
DESCRIPTION
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER
HEATING EQUIPMENT <100,000 ETU
HEATING EQUIPMENT +100,000 BTU
GAS PIPING (1 --4 OUTLETS) _ _
GAS PIRING (5 OR MORE. EACH:)._ _
REFRIG 1-100M BTU (NOT A/C OR HEAT
REFRIG 101-500M BTU_ _ _
REFRIG 501-1,000M BTU_
REFRIG 1,001-1,750M BTU_
REFRIG +1,750M BTU _ _ ',�
HEAT PUMP & AIF. CONDITIONER -C-3 T
_
HEAT PUMP & AIR CONDITIONER 5-1f TCNS
HEAT PUMP & AIR CONDITIONER
HEAT PUMP & AIR CONDITIONER
HEAT PUMP & AIR CONDITIONER
VENTILATING FANS
EVAPORATIVE COOLERS
TYPE I HOOD (PER 12'
TYPE II HOOD
CLOTHES DRYER
RANGE
GAS LOG_ _
MISCELLANEOUS (NOT COVERED ELSEWHERE)
UNLISTED GAS APPLIANCE <400,000 ETU_
UNLISTED GAS APPLIANCE >400,000 BTU_
USED APPLIANCE <400,000 BTU
USED APPLIANCE >400,000 BTU
AIR HANDLER <10,0.00 CFM
AIR HANDLER >10,000 CFM
15-:C TONS
30-50 TONS
+50 TONS
OR 12'
OF HJOD)
1x 15.00 =
(Zip)
= AMOUNT
/ o Z3b
NOT
SIGNATUR
X39.00
SUBTOTAL
PLUS: PROCESSING FEE
EQUALS: TOTAL PERMIT
FEE DUE
+ $ 25.00
Spokane County Department oi_Bullding and Saf e v A cc_4C7c