1993, 04-20 Permit App: 93002731 Mechanical FixturesJOB STREET ADDRESS:
MECHANICAL PERMIT APPLICATION FORM
Information Worksheet
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CITY/STATE/ZIP: 1(7 9902l0 PARCEL NUMBER: `/Sa73 — +oma? 4�
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OWNER: Al(-P/n) PHONE NUMBER: 96 1$07
MAILING ADDRESS: (Gordo )
(Street) (City/State) (Zip)
CONTRACTOR: AIR DESIGN, INC. LICENSE NUMBER: AIRDEI*161JW
PHONE NUMBER:_ 487 -4328 -
MAILING ADDRESS: E 1815 FRANCIS SPOKANE WA 99207
(Street) •. (City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE .
NUMBER X EACH
OF UNITS
DESCRIPTION
DUCTWORK SYSTEM
WOODSTOVE/INSERT
' GAS WATER HEATER
HEATING EQUIPMENT <100,000 BTU
HEATING EQUIPMENT +100,000 BTU
GAS PIPING (EA OUTLET) -,.•
REFRIG 1-100M.BTU (NOT -A/C OR. HEAT PUMP);..
REFRIG_1017500M .BTU `:'' •'`
REFRIG 501-1;000M•,BTU'.-:;
REFRIG 1,001 -1;750M -BTU •
REFRIG+1,750M:,BTU,_;_;
HEAT PUMPiN&'. AIR�cCONDITIONER 0-3 TONS
HEAT.'PUMP:'&. AIR CONDITIONER t:3-15 TONS'
HEAT PUMP..& AIR,CONDITIONER-15-30 TONS
HEAT PUMP'& AIR CONDITIONER'30-50 TONS
HEAT PUMP &.AIR CONDITIONER +50 TONS _
VENTILATING FANS.
EVAPORATIVE' COOLERS
TYPE I HOOD (PER 12' OR 12' PTN. OF'HOOD)
TYPE II HOOD
CLOTHES DRYER
RANGE
GAS LOG
MISCELLANEOUS (NOT COVERED ELSEWHERE)_
UNLISTED GAS APPLIANCE 5400,000 BTU_ _ _
UNLISTED GAS APPLIANCE >400,000 BTU
USED APPLIANCE <400,000 BTU
USED APPLIANCE >400,000 BTU
AIR HANDLER <10,000 -CFM
AIR HANDLER >10,000 CFM
t
= AMOUNT
x$'-0.00,=
x 25.00;=
X 10::00:'•=
/ x 1200 t
k. 150Q
a X '-1 O o
x 1200; _.
X 20:00 •=,
X 25.:.00 •=;
X-3.5,::00 t-'
x 60,.00
x 12. 0 C. r=
'. x 20.00• =:
X 25:00
X S5;00 =
'• x 60':00 =
/O, OC)
ia.00
a,00
x 10.00.=
x'10:00. ._
x 50.00 =
X 10.00'=
10:00
x to:od
x 10:00
x 10.00..7
x 50.00
x100.00.=
x 50.00=
x100.00.=
x 12.00 =
x 15.00 =
NOTE: MIN MUM PEIT FEE IS $35.00
SIGNATURE
U
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 9260 (509) 456-3675
SUBTOTAL
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
= s '/9. op