HomeMy WebLinkAbout1989, 06-26 Permit App: 89001913 Water HeaterJOB STREET ADDRESS:
CITY/STATE/ZIP:
OWNER:
MAILING ADDRESS:
MECHANICAL PERMIT.APPLICATION FORM
Information Wokksheet
C. 51,0
9/ o1.- PARCEL NUMBER:
CONTRACTOR:
PHONE NUMBER:
ann __
(Street) (City/State) (Zip)!
eeaJt�0 - (I4U Qi LICENSE NUMBER: -a l - 6.77/44--
PHONE NUMBER: Y2S CI // 7Q A . , �l
MAILING ADDRESS: •0' 3'2094 GJ� y9Z76
(Street)(Cit State) ((Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER 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 PIING (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
HEAT PUMP & AIR CONDITIONER
HEAT PUMP & AIR CONDITIONER
HEAT PUMP & AIR CONDITIONER
HEAT PUMP & AIR CONDITIONER
VENTILATING FANS
0-3 TONS _
3-15 TONS
15-30 TONS
30-50 TONS
+50 TONS
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
x$10.00 =
x 25.00 =
x 10.00 =
x 12.00 =
x 15.00 =
x 4.00 =
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 =
cx)
SUBTOTAL
$ /O
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
NOTE: MINIMUM PERMIT F E I8 $35.00
SIGNATURE 6egJ`t 7 - ( ° I ,e L(1,
Spokane County 0 11 artment of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 {509) 456-3675
$