1992, 11-24 Permit App: 92010373 Mechanical FixturesInforihatit o Worksheet
JOB STREET ADDRESS! E. 14611-7 0(.4 0"(P1
CITY/STATE/ZIP! S hrIorr•14.- I/J# 1°t PARCEL NUMBER:
oWNER:13013 3 tIA1 -te Y Goo° re--( C-14 PNONE NUMBER! el 27 -4 34 0
MAILING ADDRESS!
(Street)
S /9"w4 *-
(City/State) (Zip)
CONTRACTOR! 1 VCU LICENSE NUMBER! IJI VC.o Ee 1 ENS3C-G
PHONE NUMBER!,rj 34- 722- 55
MAILING ADDRESS: N â–º 715 /1/440,-06(....(4 ,9ctitoi*Jt (A)14 944 2bZ.
(Street) (City/State) (zip)
MEcM illen WORks!EE'1'/EEE SCHEDULE
NUMBER X EACH
DESCRIPTION OF UNITS UNIT = AMOUNT
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER
HEATING EQUIPMENT <100,000 BTU
HEATING EQUIPMENT +100,000 BTU
GAS PIPING (1 - 4 OUTLETS)
GAS PARING (5 OR MORE. Men!)_
REFRIG 1-10014 BTU (NOT A/c OR HEAT PUMP)
REFRIG 101-500M BTU
REFRIG 501-1,000M BTU
REFRIG 1,001-1,750M BTU
REFRIG +1,75011 BTU
HEAT PUMP & AIR CONDITIONEI(-3
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 PANS
EVAPO1tAT1Vg cooLtng-
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 <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
1
x$10.00 =
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
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 =
ee
(0
2"
4'14'
l2
NOTE! MINIMUM PERMIT FEE IS $35.00
SIGNATURE
SUBTOTAL
$ 38"°
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
00
=s63
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675