1992, 10-15 Permit App: 92008949 Mechanical FixturesJOB STREET ADDRESS:
CITY/STATE/ZIP:
OWNER:
MECHANICAL PERMIT APPLICATION FORM (c
Information Worksheet
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GcM ! 9,t1 6 PARCEL NUMBER: " /. 0��
44z4 /1it,/
PHONE NUMBER: qoq 7 30 �O S
MAILING ADDRESS:
(Street)
CONTRACTOR: A&IM QUALITY HEATING
11 /11th ANA"'AVE.
SPOKANE; WA 99216
MAILING ADDRESS:
(City/State) (Zig
LICENSE NUMBER: A+Quna AIVIN1
PHONE NUMBER: 9Z8 -210a
(Street)
(City/State) (Zii
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
OF UNITS UNIT - AMOUN'
DESCRIPTION
DUCTWORK SYSTEM
WOOOSTOVE/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
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 HANDLER <10,000 CFM
AIR HANDLER >10,000 CFM
a
•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 -
A
NOTE: MI;, MU PERMIT FEE IS $35.00
SIGNATURE
Spokane County Department of Building/and Safety
West 1303 Broadway Avenue Spokane. WA 99260 (509) 456-3675
SUBTOTAL
014.6
PLUS: PROCESSING FEE + $ 25.1
EQUALS: TOTAL PERMIT
FEE DUE = $ 1/900