1992, 09-04 Permit App: 92007187 Mechanical FixturesA 3-2_ MECHANICAL PERMIT APPLICATION FORM
iciz ( Information Worksheet
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JOB STREET ADDRESS: -4-2.6r± N. L i 1 1 i. n
CITY/STATE/ZIP: Spokane WA 9 9 2,x, 6 PARCEL NUMBER:
OWNER: Mike Cossette PHONE NUMBER: 922 376/4
MAILING ADDRESS:
qa- 7
I 3aca
(Street) (City/State) S UN L O 110 7 J 6
CONTRACTOR:Inland Heating LICENSE NUMBER:SUNL0I101JB
PHONE NUMBER: 455-4147
MAILING ADDRESS:
3655 Govt. Way Coeur d'Alene, ID 83814
(Zip)
DESCRIPTION
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
WOODSTOVE/INSERT
GAS WATER HEATER
GAS'EQUIPMENT <100,000 BTU (INCLUDES
GAS EQUIPMENT +100.000 BTU DUCTWORK)
BOILER/REFRIG 1-100M BTU
BOILER/REFRIG 501-1,000M BTU
OL i H I 0001: 17 OM: BTU.
_2140,11
OILER/REFRIG +1.750M BTU
(Street)
(City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
ico:.: nr,::v.V.•::o:>-:;:•is>
HEAT PUMP & AIR CONDITIONER 3-15 TONS
HEAT PUMP & AIR CONDITIONER 30-50 TONS
H.E -"1Fp,„ £ ONDfl1ONE *5O NS
•VENTILATING FANS
TYPE 1 HOOD (PER 12' OR 12' PTN. OF HOOD)
TYPE 010.06 -
CLOTHES DRYER
RANGE
GAS LOG
MISCELLANEOUS (NOT COVERED ELSEWHERE
UNLISTED GAS APPLIANCE <400.000 BTU
UUNSTED GAS APA,Nt10E >400J000 ITU
USED APPUANCE <400.000 BTU
USED APPLWICE>1.400A00 PTtJ
AIR HANDLER <10.000 CF M
AIR HANDLER >10.000 CFU
1
1
2
X 10.00 =
x 25.00 =
x 10.00 =
x12.00 =
x 15.03 =
x 1.00 =
x 12.00 =
x 20.00 =
x 25.00 =
x 35.00 =
x 60.00 =
x 12.00 =
x20.00 =
x 25.00 =
x 35.00 =
x 60.00 =
x 10.00 =
x 10.00 =
X50.00 =
X10.00
X 10.00
X 10.00 =
X 10.00 =
X 10.00 =
x 50.00 =
X100.00 -
x 50.00 -
x100.00 81
I x 12.00 =
x15.00 =
10 nn
12.00
2.00
NOTE: MINIMUM PERMIT FEE 1S $35.00
SUBTOTAL
$ 24.00
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
49.00
=s
SIGNATURE
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675