1990, 09-17 Permit App: 90004637 FurnaceMECHANICAL PERMIT APPLICATION FORM
Information
JOB STREET ADDRESS: N. 3620 Park
CITY/STATE/ZIP: SpokaTae, WA 99212
OWNER: Vern Thill
Worksheet
-a3
MAILING ADDRESS: N. 3620 Park
PARCEL NUMBER:
PHONE NUMBER: 924-3376
(Street)
CONTRACTOR: Norco Heating & Air Cond.
Co.
MAILING ADDRESS: E. 5051 Trent
Spokane, WA 99212
(City/State) (Zip)
LICENSE: NUMBER: NORCOHA17ORZ
PHONE NUMBER: 534.497
(Street)
Spokane, WA
99212
(City/State) ;(Zip)"
MECHANICAL WORKSHEET/FEE SCHEDULE
NUT BER
DESCRIPTION OF UNITS
X EACH
[TNIT = AMOUNT
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER
HEATING EQUIPMENT <100,000 BTU
HEATING EQUIPMENT +100,000 BTU
GAS PIPING (EA_OUTLET)
REFRIG 1-100M,,BTU (NOT A/C OR HEAT PUMP)
REFRIG101-500MCBTU'
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
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
TYPE II HOOD;:
CLOTHES,_ DRYER_
RANGE_L_
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
x$10.00 =
x 25.00 =
x 10.00
x 12.00
x 15.00 =
x 1.00 =
x 12.00
x20.00
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 1000 =
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 =
12.00
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE
Spokane County Department of Building and Safer
West 1303 Broadway Avenue Spokane, WA 99260 (5 9) 456-3675
SUBTOTAL
$ 12.00
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
= $ 37.00