1992, 07-16 Permit App: 92005385 Mechanical FixturesMECHANICAL PERMIT APPLICATION FORM
- Information Work heet/1D
JOB STREET ADDRESS: q g /
�,v i %020 to PARCEL NUMBER: 11 s /242-
OWNER:
2ZOWNER: i `'InC-A,4/1-'-tee PHONE NUMBER: %a T - 7
CITY/STATE/ZIP:
MAILING ADDRESS:
(Street) (City/Stag) (Zip)
CONTRACTOR:
AAM QUALITY HEATING LICENSE NUMBER: Amoywsa1Q N1
E. �' i i"eihi:1 lili AVE.
SPOKANE; WA 99216
MAILING ADDRESS:
PHONE NUMBER: 92R-2100
(Street)
(City/Stag) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
OF XUNITK
DESCRIPTION
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER
HEATING EQUIPMENT <100,000
HEATING EQUIPMENT +100,000
GAS PIPING (EA OUTLET)
REFRIG 1-100M BTU (NOT A/C OR .HEAT PUMP)
REFRIG 101-500M BTU
REFRIG 501-1,000M BTU
REFRIG 1,001-1,750M BTU
REFRIG +1,750M BTU
0-3 TONS
3-15 TONS _
15-30 TONS _
30-50 TONS _
+50 TONS
BTU _
BTU
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
VENTILATING
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
FANS
EVAPORATIVE COOLERS
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
= AMOUNT
•X$10.00 =
X 25.00 =
X10..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 =
NOTE: MI IMUM PE Tq 35.00
SIGNATURE
Spokane County Department of Buildin 'and Safety
West 1
303 Broadway Avenue Spokane, WA 9260 (509) 456-3675
SUBTOTAL
$ QL/OO
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE