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HomeMy WebLinkAbout1990, 10-02 Permit App: 90005049 Mechanical FixturesJOB STREET ADDRESS: PLUMBING PERMIT APPLICATWN FORM Information Worksheet CITY/STATE/ZIP: PARCEL NUMBER: OWNER: MAILING ADDRESS: CONTRACTOR: PHONE NUMBER: MAILING ADDRESS: (Street) A & M QUALITY HEATING, INC. E. 12710 Indiana Spokane, Washington 99216 (City/State) (Zip) LICENSE NUMBER:,4 M Qu AfI E I61.3 it1 f PHONE NUMBER: g _ a (D d . (Street) (City/State) (Zip) PLUMBING WORKSHEET/FEE SCHEDULE DESCRIPTION NUMBER OF FIXTURES X EACH FIXTURE = AMOUNT TOILETS SINKS SHOWERS BATH TUBS KITCHEN SINKS DISH WASHERS GARBAGE DISPOSAL CLOTHES WASHER UTILITY SINKS ELECTRIC WATER HEATERS FLOOR DRAINS FLOOR SINKS BAR SINKS ROOF DRAINS LAWN SPRINKLER SEWAGE EJECTOR WATER SOFTENER URINAL DRINKING FOUNTAIN x $6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = SUBTOTAL PLUS: PROCESSING FEE + $ 25.00 1 EQUALS: TOTAL PERMIT) NOTE: MINIMUMPERMIT FEE �lIj/Su ,$35.00 ,;� FEE DUE H $ SISIGNATUREj� /A 11te " AAL.44,� Spokane County Department of Building and Safety West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 MECHANICAL PERMIT APPLICATION FORM InformatignlWorksht. JOB STREET ADDRE pLUDY-- CITY/STATE/ZIP: v i PARCEL NUMBER: OWNER: MAILING CONTRACTOR: MAILING ADDRESS: eztozti-z/L- (Street) A & M aJtA! ij( HEATING, INC. E. 12710 Indiana Spokane, Washington 99216 PHONE NUMBER: (City/State) (Zip) LICENSE NUMBER: /19/04)/649/7/E --M3/0/ PHONE NUMBER: a 2-a /DO (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH OF UNITS IUNIT DESCRIPTION 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) REFRIG 101-500M BTU REFRIG 501-1,000M BTU REFRIG 1,001-1,750M BTU REFRIG +1,750M BTU AIR CONDITIONER 0-3 TONS AIR CONDITIONER 3-15 TONS _ AIR CONDITIONER 15-30 TONS _ AIR CONDITIONER 30-50 TONS _ AIR CONDITIONER +50 TONS FANS HEAT PUMP & HEAT PUMP & HEAT PUMP & HEAT PUMP & HEAT PUMP & VENTILATING 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 = 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 = 0•ot� NOTE: SIGNATURE SUBTOTAL PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT MINX IN UM P RMIT FEE S $35.00 FEE DUE 0( Spokane County Department of Buildini and Safety West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675