1989, 11-08 Permit App: 89004554 Inspection of Existing Heater, PipingMECHANICAL PERMIT APPLICATION FORM
Irfort5at Worksheet
CITY/STATE/ZIP:
MAILING ADDRESS:4 /O b
CONTRACTOR:
(Street)
A & M QUALITY HEATING, INC.
E. 12.110 Indiana
Spokane, Washington 99216
(City/State) (Zip)
LICENSE NUMBER: Am pl/A-4E- E if3 AI 1
PHONE NUMBER: q 2 ... J o p
MAILING ADDRESS:
(City/State) (Zip)
(Street)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER 1 X EACH
OF UNITS UNIT
DESCRIPTION
=AMOUNT
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER
HEATING EQUIPMENT <100,000 BTU
HEATING EQUIPMENT +100,000 BTU
GAS PIPING (1 - 4 OUTLETS)
GAS PIVING (5 OR MORE. EACH:)_
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
HEAT PUMP & AIR CONDITIONER 0-3 TONS
HEAT PUMP & AIR CONDITIONER 3-15 TONS
HEAT PUMP & AIR CONDITIONER 15-30 TONS
HEAT PUMP & AIR CONDITIONER 30-50 TONS
HEAT PUMP & AIR CONDITIONER +50 TONS
VENTILATING 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
TU
AIR HANDLER <10,000 CFM
AIR HANDLER >10,000 CFM
Pit4
V"
NOTE:
VL
U
ERMI, FEE IS $35.00
x$10.00 =
x25.00 =
x 10.00 =
x 12.00 =
x 15.00 =
x 14.00 =
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 =
42.o
I•66
SUBTOTAL $
LUS: PROCESSING FEE + $ 25.00
SIGNATURE
EQUALS: TOTAL PERMIT
FEE DUE = $ I/G
4
Spokane County impartment of Building and Safe
West 1303 Broadway Spokane, WA 99260 (5 9) 456-3675