1991, 02-07 Permit App: 91000427 Mechanical FixturesMECHANICAL PE MU APPLICATI% FMB
Ili!ormation Worksheet
•
JOB STREET ADDRESS:00 E. 9517 Nora
-
CITY/STATE/ZIP: S_Dokaaa NA_ 99706 PARCL urn“I.R:
OWNER: Jim Blue
MAILING ADDRESS:
PHONY' NUMBER:
924-1262
_
(Street) (City/State) (Zip)
CONTRACTOR: Norco Heating & AIC.
!.ING ADDRESS: E. 5103 Trent
(Street)
LICENSE NUMBER:
PHONE NUMBER: 534-4975
iMA !99212.
(zip)
TI-7.:;417;Z:riliVINIMMITOLA ...:===.17AtilUrtai: • 31.=1=4,74-f7;:r.:::::T:a:11=21
MECHANICAL
DESCRIPTION
DUCTWORK SYSTEM
WOOr;STOVE/INSERT
WORNSHEET/FEE SCHEDULE
NUMBER X EACH
OF UNITS UNIT
GAS WATER HEATER
HEATING EQUIPMENT <100,000 BTU
HEATING EQUIPMENT +100,000 BTU
GAS PIPING (EA OUTLET)
PEFRIG 1-100M BTU (NOT A/C OR HEAT PUP)
REFRIG 101-500M BTU
REFRIG 501-1,000M BTU: = 2
REFRIG 1,001-1,750M BTU_
REFRIG +1,750M BTU _ _
HEAT PUMP & AIR CONDITIONER 0-3 TUTS
EAT PUMP & AIR CONDITIONER 3-15 TON.1;
IlEAT PUMP & AIR CONDITIONER 15-30 TONS
HEAT !AMP & AIR CONDITIONER 30-50 TONf:,
HEAT PUMP & AIR CONDITIONER 1-50 TONS
VENTILATING FANS
E%;APORATIVE COOLERS_
TYPE I HOOD (PER 12'
TYPE II HCOD
CLCTNES DRYER_
RN.;;E
GAS LOG
MISCELLANEOUS (NOT COVERED ELSEOHERIA_
YJNL7.STED GAS APPLIANCE <400,000 DTU_ _
UNLISTED GAS APPLIANCE >400,000 BTU_
USED APPLIANCE <400,000 ETU
USED APPLIANCE >400,000 BTU_ _ _
AIP PUDLER <10,000 C20..!
MR HANDLER >10,000 CF:T
OR 1.2' PTIT. OF II000)
= AMOUNT
x$!0.00 =
25.00
X x 10.00 =
x 32--(-)0
x 15.00 =
x 1.00 =
x
12.0)
x 20-00 =
x 25.00 =
• 3.00
N. 60.00 =
12.00 =
:< 23.00 =
x 25.00 =
x 35.00 =
x 63.00 =
• 10.00
x 10.00 =
x 50.00
x 10.00 =
x 10.00
x 10.00 =
• 10.00 -
x 10.00
_
x 50.00 =
x100.00 =
_
x 50.00
x100.00
N: 12.00
_____-
x 15.00 =
-----------
.L.UOT.TAL ) 24.00
PT: PROCESSING FEE $ 25.00
EQUALS: TOTAL PERMIT
NOTE: MINIMUM PEaMIT FEE IS $35.00 L FEE DUE = $ 49.00 I
:;IGNATURf. _AIAe"
Coucty Jepart'aent cr Ii Safety
West 1361, :H;lriwav Avenue S,,:el(ane, WA 592(i0 09)