1991, 11-12 Permit App: 91007755 Mechanical Fixtures \ �
��,/lMECHANICAL PEEWIT APPLICATION FORM
Infornc.;tion Worksheet
JOB STREET ADDRESS: 2512 S . Progress
CITY/STATE/ZIP: Veradale , WA 99037 PARCEL NUMBER:
OWNER: Greg Shaw PHONE NUMBER:
MAILING ADDRESS:
(Street) (City/State) (Zip)
CONTRACTOR: Allied Heating , Inc . LICENSE NUMBER: ALLIEI*200D4
PHONE NUMBER: 928-8252
MAILING ADDRESS: 9309 E . Trent ' Spokane , WA 99206
(Street) (City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER I,. X EACH
DESCRIPTION OF UNITS UNIT = AMOUNT
DUCTWORK SYSTEM x$10.00 a
WOODSTOVE/INSERT x 25.00 =
GAS WATER HEATER _ X 10.00 =
HEATING EQUIPMENT <100,000 BTU _ _ _ _ / ' x 12.00 = /a;acs
HEATING EQUIPMENT +100,000 BTU X 15.00 =
GAS PIPING (EA OUTLET) i x 1.00 = /,(DO
REFRIG 1-100M BTU (NOT A/C OR HEAT PUMP) x 12.00 =
REFRIG 101-500M BTU x 20.00 =
REFRIG 501-1, 000M BTU x 25.00 =
REFRIG 1,001-1,750M BTU x 35.00 =
REFRIG +1,750M BTU x 60.00 =
HEAT PUMP & AIR CONDITIONER 0-3 TONS _ _ x 12.00 =
HEAT PUMP & AIR CONDITIONER 3-15 TONS x 20.00 a
HEAT PUMP & AIR CONDITIONER 15-30 TONS x 25.00 =
HEAT PUMP & AIR CONDITIONER 30-50 TONS x 35.00 =
HEAT PUMP & AIR CONDITIONER +50 TONS _ x 60.00 =
VENTILATING FANS x 10.00 =
EVAPORATIVE COOLERS x 10.00•
TYPE I HOOD (PER 12 ' OR 12' PTN. OF HOOD) x 50. 00 =
TYPE II HOOD x 10.00 =
CLOTHES DRYER x 10. 00 =
RANGE x 10.00 =
GAS LOGx 10.00 m
MISCELLANEOUS (NOT COVERED ELSEWHERE) ,;__1• • 4 . 1 .'`4 10.9.0 =
UNLISTED GAS APPLIANCE <400,000 BTU_ _ _ x 50.010 = •
UNLISTED GAS APPLIANCE >400,000 BTU_ _ _ x100.00 a
USED APPLIANCE <400,000 BTU x 50.00 =
USED APPLIANCE >400, 000 BTU x100.00 =
AIR HANDLER <10,000 CFM x 12.00 =
AIR HANDLER >10, 000 CFM x 15.00 =
SUBTOTAL $ /3.e('
PLUS: PROCESSING FEE + $ 25.00
EQUALS: TOTAL PERMIT
NOTE: ! MIN UM PERMIT PEE IS $35.00 FEE DUE = $
03
SIGNATURE 'c..,p p (7��--,1 -.:_.
Spokane County Department of Building and Safety
West 13013 Broadway Avenue Spokane, WA 99260 (509) 456-3675