1992, 09-29 Permit App: 92008178 Mechanical Fixtures45-331A,1115 41. 11
$7(665 6 -MECHANICAL P,ER""IT APPLICATION FORM
�n� L�5 1 Information Worksheet
JOB STREET ADDRESS: 4202 S. Pondra Dr.
-3773
a ao3
CITY/STATE/ZIP: Spokane, WA 99206 PARCEL NUMBER:
OWNER: David Goering PHONE'NUMBER: .928-6218
MAILING ADDRESS:
(Street) (City/State) (Zip)
CQNTRACTOR: Allied Heating, Inc. LICENSE NUMBER: ALLIEI*20004
MAILING ADDRESS: .9309 E. Trent
(Street)
PHONE NUMBER: 928-8252
Spokane. WA 99206
(City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
OF UNITS (UNIT
,DESCRIPTION
DUC1TWORK SYSTEM
WOCjDSTOVE/INSERT
WI WATER HEATER
HEP.,TING EQUIPMENT <100,000 BTU
HEP.ITING EQUIPMENT +100,000 BTU
GAS) PIPING (EA OUTLET)
REERIG 1-100M BTU (NOT A/C OR HEAT PUMP)
REFRIG 101-500M BTU
REERIG 501-1,000M BTU
REF;RIG 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
EVAAPORATIVE COOLERS
T�YIE I HOOD (PER 12' OR 12' PTN. OF HOOD)
TYPE II HOOD
CLQTHES DRYER
RANGE
CSA:) LOG
MI;jCELLANEOUS (NOT COVERED ELSEWHERE)
QNPISTED GAS APPLIANCE <400,000 BTU
UNIkISTED GAS APPLIANCE >400,000 BTU
USiFD APPLIANCE <400,000 BTU
USp APPLIANCE >400,000 BTU
AI4 HANDLER <10,000 CFM
A,I1HANDLER >10,000 CFM
a
= AMOUNT
X$10.00 =
x 25.00 =
x 10.00 =
x 12.00 =
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 10.00 =
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 =
JO•00
I�.00
NOTE: MINIMUM PERMIT FEE IS $35.00
SI!$NATURE
SUBTOTAL
$ az/. co
PLUS:.PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
_ $ 49,x1
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675