1993, 11-08 Permit App: 93010796 Mechanical FixturesJOB STREET ADDR
CITYISTATEJ 13*
OWNER:
MAIUNG ADDRESS:
SS:
MECHANICAL PERMIT APPLICATION FORM
Infotariptioh Worksheet
3 5. Cy„4.2W ct
CONTRACTOR:
MAIUNG ADORES
0
•
•
(43-/O7cu7
PARCEL NUMBER:
PHONE NUMBER: pili
d()S4471?1‘; 1
DESCRIPTION
(City/State) (Zip)
LICENSE NUMBER: NOR /9 0 7,..,•1JO
j"PH NE NUMBER: 9c) 4/0f
0--i‘ /34N9 GOO .
(Street) (City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
..EC.TIC/DII.!C:rWOfIKISEPARATE SYSTEMS
502000,41.04garOVV'Itlair
GAS WATER HEATER
OgooQ.UTU .(INCLUDES
GAS EQUIPMENT +100.000 BTU DUCTWORK)
644
BOILER/REFRIG 1-100M BTU
Wmate04006209h0Tv
BOILER/REFRIG 501-1,000M BTU
`..
BOILER/REFRIG +1,750M BTU
• • •AliSitali•'•w• • •••••••:•.-::::•.:::,;:git.i!:§
• ,
HEAT PUMP & AIR CONDITIONER 3-16 TONS
iligkritthit0004:10000.0401,0..'... '' .. : . . .
HEAT PUMP & AIR CONDITIONER 30-60 TONS
iiigtatiMOMMOZON.04145040 MWM
VENTILATING FANS
kV- -Nfikiditti41140144 <-tt
TYPE1 HOOD PER 12' OR 12' PTN. OF HOOD)
war- 4141533iiifF•
CLOTHES DRYER
0.•
r:7 C
:4 •
GAS LOG
iittarsidiVjahla" • .. Mfg
UNUSTED GAS APPUANCE <400,000. BTU
caritimaginggigo 4." Alt", 64,411..:i
USED APPUANCE <400,000 BTU
AIR HANDLER <10,000 CFM
'10:: •
1$:
4 t,
NOTE MINIMUM PERMIT FEE IS $35.00
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
x 10.00 .
x 25.00 ...,
x 10.00 ei
x 12.00 -
x 15.00 ..
x 1.00 -,
x 12.00 ax
x20.00 ii
x25.00 iii
x35.00 in
x 60.00 .i.
x 12.00 el
x 20.00 in
x 25.00 iii
x35.00 ...
x60.00 -
x 10.00 =
x 10.00 is
x 50.00 .2
X 10.00 1.
X 10.00 =
X 10.00 -
X 10.00 .1
X 10.00 .1
x 50.00 la
x100.001.
x 50.00 .1
X100.00 .1
x 12.00
x 15.00 la
1
- -0
eR .6
c;2
SUBTOTAL
$ ,,400
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
Spokane County Division of Buildings
West tozioloadway /wont 's)svokano, WA o9r)(1) (f;01)) '1 'f 1li is;