1990, 10-18 Permit App: 90005494 Mechanical FixturesMECHANICAL --PERMIT APPLICATION FORM
Information Worksheet
JOB STREET ADDRESS: 10104 E. Mission -
CITY/STATE/ZIP: Spokane Wa. 99206 - PARCEL NUMBER:
OWNER: Floyd Braaten
PHONE NUMBER:
MAILING ADDRESS:
CONTRACTOR:
SAME
Sturm
(Street)
Heating. Ino. -
MAILING ADDRESS: E. 204 Indiana
a?6g
n7GLI (-a ---?
926-4144
(City/State)
LICENSE NUMBER:STURMI*210
QF
(Zip)
PHONE NUMBER: 325-4505
Spokane, Wa.
99207
(Street) (City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE - -
DESCRIPTION
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER
HEATING EQUIPMENT <100,000
HEATING EQUIPMENT +100,000
GAS PIPING (1 - 4 OUTLETS)
BTU
BTU
GAS PI?ING (5 OR MORE. EACH:)
REFRIG 1-100M BTU (NOT A/C OR
REFRIG 101-500M BTU
HEAT PUMP)
REFRIG 501-1,000M BTU
REFRIG 1,001-1,750M BTU
REFRIG +1,750M BTU
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
VENTILATING
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
FANS
0-3 TONS
3-15 TONS
15-30 TONS
30-50 TONS
+50 TONS
EVAPORATIVE COOLERS
TYPE I HOOD (PER 12' OR 12' PIN. OF HOOD)
TYPE II HOOD
CLOTHES DRYER
RANGE
GAS LOG
MISCELLANEOUS (NOT COVERED ELSEWHERE)
UNLISTED GAS APPLIANCE <400,000 BTU
UNLISTED GAS APPLIANCE >400,000 BTU
USED APPLIANCE <400,000 BTU
USED APPLIANCE >400,000 BTU
AIR HANDLER <10,000 CFM
AIR HANDLER >10,000 CFM
1
1
3
x$10.00
x 25.00
x 10.00
x 12.00
x 15.00
X /-,00
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
x 10.00 =
x 10.00 =
x 10.00 =
x 50.00 =
x100.00 =
x 50.00 =
x100.00 =
x 12.00 =
x 15.00 =
10.00
12.00
3.00
NOTE: M,IN'IMUM PERMIT FEE IS $35.00
SIGNATURE
SUBTOTAL
$ 25.00
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
;FEE DUE
$50.00
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675