1992, 10-02 Permit App: 92008353 Mechanical FixturesCc1- 4,4;)j�-73 MECHANICAL PERMIT APPLICATION FORM �5O7 \\AIN
Information Worksheet
JOB STREET ADDRESS: 8002 E. Nora
C1<TY/STATE/ZIP: Spokane,
WA 99212 PARCEL NUMBER:
OWNER: Dustin McCoul PHONE NUMBER: 535-7196
MAILING ADDRESS:
(Street) (City/State)
CONTRACTOR: Allied Heating, Inc. LICENSE NUMBER: ALLIEI*200D4
PHONE NUMBER: 928-8252
MAILING ADDRESS: 9309 E. Trent
(Street)
(Zip)
SpnkanP WA (192DR
(City/State)
(Zip)
MECHPNICAL,WORKSHEET/FEE SCHEDULE
NUMBER X EACH
OF UNITS UNIT
DESCRIPTION
DUCFFWORK SYSTEM
WOCIDSTOVE/INSERT
GAS) WATER HEATER
HEATING EQUIPMENT <100,000 BTU
HEPTING EQUIPMENT +100,000 BTU
pAsi PIPING (EA OUTLET)
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
TYIE I HOOD (PER 12' OR 12' PTN. OF HOOD)
TYIjE II HOOD
CLQTHES DRYER
RANGE
GM LOG
MI:iCELLANEOUS (NOT COVERED ELSEWHERE)
UNfISTED GAS APPLIANCE <400,000 BTU
UNLISTED GAS APPLIANCE >400,000 BTU
US4D APPLIANCE <400,000 BTU
USIFD APPLIANCE >400,000 BTU
AI4 HANDLER <10,000 CFM
AIIHANDLER >10,000 CFM
a
= AMOUNT
x$10.00 =
x 25.00 =
x 10.00 =
x 12.00 =
x 15.00 =
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 =
)6, 00
)Q.00
SUBTOTAL
$ az.5/,O0
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
NOTE: MI IMUM PERMIT FEE IS $35.00
SIi2NATURE ( 424 O, Q ✓� D� ✓La��.
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
= $ POO