1993, 03-31 Permit App: 93001967 Mechanical Fixtures Or
N1ECHAN!CAL PERMIT APPLICATION FORh1
{3-11Information Worksheet
JOB STREET ADDRESS: 4718 S. Skipworth 't /1 ' (/tea 7
CITY/STATE/ZIP: Spokane, WA 99206 PARCEL NUMBER: A. `'� l o"�
OWNER: Manuel Arralde PHONE NUMBER: 926-4234
MAILING ADDRESS:
(Street) (City/State) SUNLOI107.J6 (Zip)
CONTRACTOR: Inland Heatirle & Cooling LICENSE NUMBER: SUNLOIIO1JB
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 =
WOODSTOVEIINSERT x 25.00 =
GAS WATER HEATER -11.1111111 x 10.00 = 10.00
GAS-EQUIPMENT k-100,000 BTU (INCLUDES x 12.00 =
GAS EQUIPMENT+100,000 BTU DUCTWORK) 1 x 15.03 = 15.00
GASPIPING.(EA OUTLET)- 2 x 1.00 = 2.00
BOILER/REFRIG 1-100M BTU __ x 12.00 =
BOILER/REFRIG�501-SODA 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:PUMP`& IR.CONDITIONER 0-3 TONS x 12.00 =
HEAT PUMP &AIR CONDITIONER 3-15 TONS x 20.00 =
HEAT P11MP5&`A1R CONDITIONER 1530 TONS x 25.00 =
HEAT PUMP &AIR CONDITIONER 30-50 TONS x 35.00 =
HEATPUMP F _CONDITIONER+50 TONS'- • x 60.00 =
VENTILATING FANS x 10.00 =
EVAPORATIVEI^0.pLERS .. . x 10.00 =
TYPE I HOOD(PER 12' OR 12' PTN. OF HOOD) x 50.00 =
TYPE • x 10.00
CLOTHES DRY91 x 10.00 =
FLANGE x 10.00 = --
GAS LOG x 10.00 -
MISCELLANEOUS(NOT COVERED ELSEWHERE __ x 10.00 •
UNLISTED GAS APPLIANCE <400,000 BTU x 50.00 -
UUNSTED CTAS APPIJ<ANCE>400.000 HTU x100.00-
USED APPUANCE«00,000 BTU x 50.00
USED APPLIANCE x.000 STU x100.00-
AtR HANDLER <10.000 Gni I I x 12.00 = I
AIR HANDLER>10.000 CFU x 15.00
SUBTOTAL S 27.00
PLUS: PROCESSING FEE + 5 25.00
NOTE: MINIMUM PERMIT FEE IS 535.00 EQUALS: TOTAL PERMIT 52.00
FEE DUE = S
011 .
SIGNATURE ► t r()
Spokane County Division of Buildings L/1/(7 � 6L-