Loading...
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