1990, 12-27 Permit App: 90006937 Mechanical FixturesDom.-s'Y3 042,n
MECHANICAL PERMIT _APPLICATION FORM
Information WorksheetJOB STREET ADDRESS: eh! -493 SGsA1/t vi e ✓i L3 - /- ,C 3
CITY/STATE/ZIP: 5 egao-c (�jt%1, 9 92J w PARCEL NUMBER:
OWNER: RIcLitto ? v tny Sar"
MAILING ADDRESS: Sei wc- •-P
PHONE NUMBER: i2 G
CONTRACTOR:
(Street),
I�iy ffiej '`fila i c
(City/State)
(Zip)
LICENSE NUMBER: NG tv-i cal /SZ pG
PHONE NUMBER: 53_C ----c90/7
MAI LING ADDRESS: /5-2W 5/i a/ fid $ klef2.4 1
City/State)
(Street)
-20 z
(Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
OF UNITS UNIT
DESCRIPTION
DUCTWORK SYSTEM
WOODSTOV,,E/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
= AMOUNT
x$?0.00 =
x 25.00 =
x 10.00 =
x12.00 =
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 =
/O- aU
/.2�
kr-o451
Pv •
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE
SUBTOTAL
$ /ysc5,0
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
=$3?o0
Spokane Countya Department of Buiidinq and Safety
Wart iR Rrnarlwav uaniie Snnkane Wd Q 9fi0 (5 41 d5R_� 75