1991, 05-09 Permit App: 91002442 Mechanical FixturesMECHANICAL PE:Mir APPLICATION FORM
Inform on Worksheet
r
JOB STREET ADDRESS: 22 . , (j I V 1 , fIIi.� 1 J
CITY/STATE/ZIP: 40 KOLAP/ C,t %G'L
� ��?',�'1
OWNER: ��
PARCEL
NUMBER:
PHONE NUMBER:
ILADDRESS:
"WING
(Street)
rCONTRACTOR: /'51
X76.zi
.
cd
/78-f
re'd'4
�f �o
6
(City/State) (Zip)
LICENSE NUMBER:
PHONE NUMBER: /040000
$poaIt Wit.TiFft
(City/Statef
ILING ADDRESS :Eg9fWW$#VU/'/
(Stree )
MECHANICAL WORKSHEET/FEE SCHEDULE''._'
NUMBER XEACH
OF UNITS UNIT
DUCTWORK SYSTEM
WOODSTOVE/INSERT __
GAS WATER HEATER
CHEATING EQUIPMENT <1008000 BTU
HEATING EQUIPMENT +100"000 BTU
II.' GAS PIPING (EA OUTLET)
FRIG 1-100M BTU (NOT A/C OR HEAT PUMP)
FRIG_101-500M,BTU
FRIG 501-1,000M BTU
;REFRIG 1,001-1,750M BTU
REFRIG +1,750M BTU "
• EAT'PUMP & AIR CONDITIONER 0-3 TONS _
EAT PUMP & AIR CONDITIONER 3-15 TONS
HEAT -PUMP & AIR CONDITIONER 15-30 TONS
•:HEATPUMP & AIR CONDITIONER 30-50 TONS
;:HEAT PUMP & AIR CONDITIONER +50 TONS,
4,VENTILATING FANS
7 EVAPORATIVE COOLERS
TYPE I HOOD (PER 12'
xe'-.TYPE II HOOD
,:CLOTHES DRYER
RANGE
GAS LOG
•
et;
I ox
ACP
OR 12' PTN. OF HOOD)
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
AMOUNT
X$10.00
X'10.00
x12.00
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:i0.00
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
NOTE:
SIGNA URE
UM PERM EE IS $35.00
SUBTOTAL
$
PLUS: PROCESSING FEE
EQUALS : TOTAL. PERMIT
;:FEE.DUE
Spokane County Department of Building and Safety
st 1303 Broadway Avenue Spokane, WA 93260 (509) 456-3675