1992, 09-29 Permit App: 92008180 Mechanical FixturesMECHANICAL PERMIT APPLICATION FORM
Information_Worksheet
JOB STREET ADDRESS: 1019 S. Robinhood
C;TY/STATE/ZIP: Spokane. WA 99206 PARCEL NUMBER:
OWNER: Clyde Burnside
MAILING ADDRESS:
PHONE NUMBER: 926-5929
(Street)
CONTRACTOR: Allied Heating, Inc.
MAILING ADDRESS: 9309 E. Trent
(City/State) (Zip)
LICENSE NUMBER: ALLIEI*200D4
PHONE NUMBER: 928-8252
(Street)
Spokane, WA 99206
(City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
DESCRIPTION OF UNITS UUNIT
DUCTWORK SYSTEM
WOC►DSTOVE/INSERT
GAS; WATER HEATER
HEATING EQUIPMENT <100,000 BTU
H.EPATING 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
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
VENTILATING
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
FANS
0-3 TONS _
3-15 TONS
15-30 TONS
30-50 TONS
+50 TONS
FVhPORATIVE COOLERS
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
TYPE II HOOD
CLQTHES DRYER
RANGE
QA:f LOG
!4I:iCELLANEOUS (NOT COVERED ELSEWHERE)_
UNIJISTED GAS APPLIANCE <400,000 BTU_ -
UN)0ISTED GAS APPLIANCE >400,000 BTU_ _
USED APPLIANCE <400,000 BTU
USTD APPLIANCE >400,000 BTU
AII� HANDLER <10,000 CFM
AI4 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 =
)0,00
/<7-(-)0
�. co
NOTE: MINIMUM PEIT FEE IS $35.00
A17,04----
c __/
SI(5NATURE
SUBTOTAL
$ a5G
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
Spokane County Department of Building_ and Safety
West 1303 Broadway Avenue Spokane, WA 9260 (509) 456-3675