1994, 11-08 Permit App: 94011153 Water Heater )15 \,5. , 6, 07 SPI c'Alec15 1_,
-i-r- i E L Irfor ati,ot.Wopprksheet _n
J STREET ADDRESS:- 12 2( 15- ` J fd-�v e W q4' - L 1 1,53
CIT STATE/ZIP: qQ2/ so ARCEL NUMBER:_
OWNER: ( ?ZS 14 /11 at) 4 e"A4 PHONE NUMBER: U l Ir 6:7g l0
. MAILING ADDRESS: J'L 4- / 5106 94z/_('
2/_('
000--) (Stre t) (City/State) (Zip)
CONTRACTOR: S L v emx LICENSE NUMBER: 0C ex) SP 113 PI ,
PHONE NUMBER: q q -6 t( 6
MAILING ADDRESS: J 3 2062 r (i2.0 seol 'kh.j63- c4,14 99.214,
(Street (City/State) (Zip)
aiiimaimemmummemiummunim
MECHANICAL WCRXSHEET/FEE SCHEDULE
___ NUMBER I X EACH f
DESCRIPTION OF UNITS UNIT ! = AMOUNT
DUCTWORK SYSTEM l x$10 . C 0 =!
WGODSTOVE/INSERT jx 25 . CO =!
GAS WATER DATER _ egrIc,04-6-t'�''� _ / j x i C . c 0 .1 /ewe)
HEATING EQUIPMENT <100, 000 ETU x 12 . 00
HEATING EQUIPMENT +1c0, CC0 ETU x 1
GAS OUTLETS)(1 - �4 x ...T:-:-c-
GAS PIRING (5 OR MORE. EACH: )_ _ _ _ _ _ i x 1 . 00 =1
REFRIG 1-100M BTU (NOT A/C OR NEAT PUMP) x 12 . 00 =
REFRIG 101-500M BTU _ x 20. 00 =
REFRIG 501-1, 000M BTU Ix 25. 00 =
REFRIG 1,001-1,750M BTU x 35. 00 = _
REFRIG +1,750M BTU x 60.00 =
HEAT PUMP & AIR CONDITIONER 0-3 TONS _ x 12 . 00 =
HEAT PUMP & AIR CONDITIONER 3-15 TONS- - x 20. 00 =
HEAT PUMP & AIR CONDITIONER 15-30 TONS _ x 25. 00 =
HEAT PUMP & AIR CONDITIONER 30-50 TONS _ x 35. 00 =I_
HEAT PUMP & AIR CONDITIONER +50 TONS _ _ x 60 . 00
VENTILATING FANS x 10. 00 =+ _
EVAPORATIVE COOLERS x 10. 00 =
TYPE I HOOD (PER 12 ' OR 12 ' PIN. OF HOOD) Y 30. 00
TYPE II HOOD x 10. 00 =1
CLOTHES DRYER x 10. 00
=I
RANGE x 10. 00 =,
GAS LOG _ _ x 10.0 0 -
MISCELLANEOUS (NOT COVERED ELSEWHERE)_ _ �_ x 10. 00 =
UNLISTED GAS APPLIANCE <400, 000 BTU_ _ _ x 50. 00 =�
UNLISTED GAS APPLIANCE >400, 000 BTU_ _ _ xi00. 0o ='
USED APPLIANCE <400,000 BTU x 50. 00 =i
USED APPLIANCE >400,000 BTU x100. 00 =
AIR HANDLER <10, 040 CFM X 12 . 00 =
AIR HANDLER >10, 000 CFM , x 15. 00 =
SUBTOTAL $ / °(7-
PLUS: PROCESSING FEE + $ 25. 00
EQUALS: TOTAL PERMITT
NOTE: MIN' oak, BE- - PEE IS $35.00 FEE DUE 22 $}
SIGNATURE A`_ __�:
,
„ ookane County Department of
..Buiiding and SatitL,. ,rw ..,.,