1989, 11-09 Permit App: 89004623 Furnace, PipingJOB STREET ADDRESS:
MECHANICAL,PERMIT APPLICATION FORM
Information Worksheet
E. 10205 Mission FIRST CHOICE
CITY/STATE/ZIP: Spokane Wa. 99206
OWNER: Gary Morrison
MAILING ADDRESS: E. 14418
CONTRACTOR:
Broadway
PARCEL NUMBER:
--5W- o56y
PHONE NUMBER: 535-1523
(Street)
Sturm Hating. Inc.
MAILING ADDRESS: E. 204 Indiana
Spokane, Wa. 99276
(City/State) (Zip)
LICENSE NUMBER:STURMI*210 QF
PHONE NUMBER: 325-4505
(Street)
Spokane, Wa. 99207
(City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
OF UNITS UNIT
DESCRIPTION
= AMOUNT
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER
HEATING EQUIPMENT <100,000 BTU
HEATING EQUIPMENT +100,000 BTU
GAS PIPING (1 - 4 OUTLETS)
GAS PIVING (5 OR MORE. EACH:)
REFRIG 1-100M BTU (NOT A/C OR HEAT PUMP)
REFRIG 101-500M BTU
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' PTN. 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
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
12.00
1.00
NOTE:
SIGNATURE
NOMUM PERMIT FEE IS $35.00
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
SUBTOTAL
$ 13.00
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
= $38.00