1993, 04-27 Permit App: 93002978 Water Heater, Piping MECHANICAL PERMIT APPLICA I ION FORM
93 _ z97
Information Worksheet '6j f
JOB STREET ADDRESS 14 4 25 E . Sharp
CITY/STATE/ZIP: Spokane , _WA 99216 _ PARCEL NUMBER:
d.
OWNER: Russell Mikami PHONE NUMBER: 926=5_0 70
MAILING ADDRESS:
(Street) (City/State) SUNLOI107J6 (Zip)
CONTRACTOR: Inland Heating & Cooling LICENSE NUMBER: SUNL0I101JB
PHONE NUMBER: 455-4147
MAILING ADDRESS: 3655 Govt. Way 1112 Coeur d'Alene, ID 83814
(Street) (City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
DESCRIPTION OF UNITS UNIT =AMOUNT
ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) x 10.00 =
WOOOSTOVE/INSERT x 25.00 =
GAS WATER HEATER 1 x 10.00 = 10 . 00
GAS.EQUIPMENT<100,000 BTU (INCLUDES x 12.00 =
GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.03 =
GAS PIPING(EA OUTLET)': 1 x 1.00 = 1 . 0 0
BOILER/REFRIG 1-100M BTU x 12.00 =
BOILER/REFRIGA01_500M BTU`, x 20.00 =
BOILER/REFRIG 501-1,000M BTU x 25.00 =
BOILER/REFRIG 1,0001,-1,750M BTU ' x 35.00 =
BOILER/REFRIG+1,750M BTU x 60.00 =
HEAT P11MPA$ IR CONDITIONER 0-3;TONS'. x 12.00 =
HEAT PUMP&AIR CONDITIONER 3-15 TONS x 20.00 =
HEATP. MPy&`t RCONDITIONEA 1&-30 TONS x 25.00 =
HEAT PUMP&AIR CONDITIONER 30-50 TONS x 35.00 =
HEATPI1MP, F ,CONDITIONER*50 TONS`.-• x 60.00 =
.VENTILATING FANS x 10.00 =
EVAPO ATNF X)OLERS x 10.00 =
TYPE I HOOD(PER 12' OR 12' PTN. OF HOOD) x 50.00 =
TYpt 1.1)4067-4.7:- :. ' x 10.00 =
CLOTHES DRYER x 10.00 =
RANGE x 10.00 =
GAS LOG x 10.00 -
MISCELLANEOUS(NOT COVERED ELSEWHERE x 10.00
UNLISTED GAS APPUANCE <400.000 STU x 50.00 -
ULINSTED GAS APPLIANCE>403.000 6TU x100.00=
USED APPLIANCE<400.000 BTU x 50.00 K
USED APPUAl10E>4CC.000 BTU 1 x100.00 - .
AfA HANDLER<10.000 C1 i I x 12.00 = I
AIR HANDLER>10.000 CFI./ x 15.00 = _ --
SUBTOTAL 5 11 . 00 ,
PLUS: PROCESSING FEE + S 25.00
NOTE: MINIMUM PERMIT FEE IS 535.00 EQUALS: TOTAL PERMIT 36 . 00
FEE DUE = S
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SIGNATURE / 1
Spokane County Division of Buildings