1991, 12-10 Permit App: 91008525 Mechanical Fixtures MECHANICAL PERMIT APPLICATION FORM C I- a s a s
Inforisati,n Worksheet December 6 , 1991
L'hee�c 6 , 19 91
ROCKWELL
JOB STREET ADDRESS: EAST 14206 -
• CITY/STATE/ZIP: Spokane
Wa 99 1F, PARCEL NUMBER:
OWNER: JACK ADKINS
PHONE NUMBER: 928-4898
MAILING ADDRESS: Same
(Street) (City/State)
CONTRACTOR: POWERS INC . (Zip)
LICENSE NUMBER: POWER-3431.
PHONE NUMBER: 535-7714
MAILING ADDRESS: East 6507 Mallon venue
(Street) an Wath 9921 enol
(City/State) (Zip)
11111111111.11111.11.711 .1111.111"1111.1111.1111RHANRKSHEET/FEESCIDULELE
DESCRIPTION NUMBER X EACH
OF UNITS UNIT = AMOUNT
DUCTWORK SYSTEM
WOODSTOVE/INSERT X$10.00 =
GAS WATER HEATER x 25.00 =
HEATING EQUIPMENT <100, 000 BTU x 10.00 =
HEATING EQUIPMENT +100, 000 BTU One x 12.00 = 12 . 00
GAS PIPING (1 - 4 OUTLETS) x 15.00 =
GAS PIPING (5 OR MORE. EACH:) - - One x 1.00 '= 1 . 00
REFRIG 1-100M BTU (NOT A/C OR HEAT PUMPx 1.00 =
REFRIG 101-500M BTU ) x 12.00 .=
REFRIG 501-1,000M BTU x 20. 00
REFRIG 1,001-1,750M BTU x 25.00 =
REFRIG +1,750M BTU x 35.00 =
HEAT PUMP & AIR CONDITIONER 0-3 TONS x 60.00 =
HEAT PUMP & AIR CONDITIONER 3-15 TONS x 12. 00 =
HEAT PUMP & AIR CONDITIONER 15-30 TONS x 20.00 =
HEAT PUMP & AIR CONDITIONER 30-50 TONS x 25. 00 =
HEAT PUMP & AIR CONDITIONER +50 TONS - x 35.00 =
VENTILATING FANS - -_ x 60. 00 =
EVAPORATIVE COOLERS x 10.00 =
TYPE I HOOD (PER 12 ' OR 12 ' PTHOOD) ,r 50 00 =
N. OF x 10. 00 =
TYPE II HOOD
CLOTHES DRYER
X 10. 00 =
RANGE x 10.00 =
GAS LOG x 10.00 =
MISCELLANEOUS (NOT COVERED ELSEWHERE)- - ========7
x 10.00 =
UNLISTED GAS APPLIANCE <400,000 BTU x 10.00 =
UNLISTED GAS APPLIANCE >400,000 BTU - - x 50.00 =
USED APPLIANCE <400,000 BTU - - x100.00 =
USED APPLIANCE >400, 000 BTU x 50.00
AIR HANDLER <10,000 CFM x100.00 =
AIR HANDLER >10, 000 CFM x 12. 00 =
x 15. 00 =
Gas Piping to Garage Bldg . SUBTOTAL
$ 13 . 00
PLUS: PROCESSING FEE + $ 25. 00
NOTE: M (tIMOM PETE IS 35.00 EQUALS: TOTAL PERMIT
SIGNATUR . $ FEE DUE
West 1303aBroadway Avenue Department
Buildingand Safety I1101 AGC