Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
1989, 10-26 Permit App: 89004327 Furnace, Piping
MECHANICAL PERMIT- APPLICATION FORM Information Worksheet JOB STREET ADDRESS: ` ) . 1 / --- CITY/STATE/ZIP: 40,Dn jd� ct , 9 9 cq, & PARCEL NUMBER: 15.5 7 c5 r OWNER: q L /-Op- PHONE NUMBER: MAILING ADDRESS: 6a/mo (Street) (City/State) (Zip) CONTRACTOR: 'JI11-4 hQ641YISI LICENSE NUMBER: I, , _ / PHONE NUMBER:, �p MAILING ADDRESS : _'� • �'3// Y(T z bA,-o ;_I t,y . (Street) City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER I X EACH DESCRIPTION OF UNITS UNIT I AMOUNT DUCTWORK SYSTEMx$10.00 _ _ _ _ _ _ _ _ _ _ _ _ WOODSTOVE/INSERT _ - - - - - _ _ _ _ _ _ GAS WATER HEATER HEATING EQUIPMENT <100,000 BTU _ - - - _ HEATING EQUIPMENT +100,000 BTU _ _ _ - - GAS PIPING (1 - 4 OUTLETS) _ _ _ GAS PIING (5 OR MORE. EACH:)_ _ - _ - _ REFRIG 1-100M BTU (NOT A/C OR HEAT PUMP) REFRIG 101-500M BTU_ _ _ _ _ _ _ _ _ REFRIG 501-1,000M•BTU- _ - _ - - - _ - - BT REFRIG 1,001-1,750M U_ - _ - - _ - - - REFRIG +1,750M BTU_ _ _ _ _ _ - - HEAT PUMP & AIR CONDITIONER_ 0_-3_ TONS _ _ HEAT PUMP & AIR CONDITIONER 3-15 TONS _ HEAT PUMP & AIR CONDITIONER 15-30 TONS _ HEAT PUMP & AIR CONDITIONER 30-50 TONS _ HEAT PUMP & AIR CONDITIONER +50 TONS._ _ VENTILATING FANS EVAPORATIVE COOLERS_ _ _ _ _ _ _ TYPE I HOOD (PER 12' OR 12' PTN_. OF_ HOOD) TYPE II HOODx CLOTHES DRYER7------�... _ 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 _ _ _ _ _ _ _ _ = x 25.00 = x 10.00 = x 12.00 = x 15.00 = x 4.00 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 = 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 = , - SUBTOTAL $ 16.60 PLUS: PROCESSING FEEI+ $ 25.00 EQUALS: TOTAL PERMIT NOTE: IMIIM IT EE S $35.00 FEE DUE _ $ q � SIGNATURE �fjol�ne County Department of Building and SafetyWest03 Broadway Avenue Spokane, WA 99260 (509) 456-3675