1993, 03-05 Permit App: 93001262 Mechanical FixturesLOtp-(1ai� G C Y MECHANICAL PERMIT APPLICATION FORM
t, t.a}\
�,!% / Q"Z Information Worksheet
JOB STREET ADDRESS:
77n5 Fast. Sint.n
3-1?_(0-z_
CITY/STATE/ZIP: Spokane WA 99212 PARCEL NUMBER:
OWNER:
Walter Reil
PHONE NUMBER:
MAILING ADDRESS:
CONTRACTOR:
77(19 Fant
(Street)
Sintn
Steinmetz Heating
509 924-5987
Slankana WA (4(1212
(City/State) (Zip)
& A/C LICENSE NUMBER: STEINHA147 KF
MAILING ADDRESS:
PHONE NUMBER: 509-922-2034
North 2114 Pines Ste#3 Spokane, WA 99206
(Street)
(City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
OF UNITS UNIT
DESCRIPTION
DUCTWORK SYSTEM
WOODSTO"TE/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 &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
VENTILATING
AIR CONDITIONER 0-3 TONS _
AIR CONDITIONER 3-15 TONS
AIR CONDITIONER 15-30 TONS
AIR CONDITIONER 30-50 TONS
AIR CONDITIONER +50 TONS
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
1
= AMOUNT
x$?0.00 =
x 25.00 =
x 10.00 =
x 12.00 =
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 =
t&.00.
NOTE:
SIGNATURE
INIMUM PERMIT FEE IS $35.00
SUBTOTAL
$ la.00
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
= $ 31.00
Spokane County Department of Building and Safety
West 13113 Rrnarfwav Aventip Snnkanp WA 9. 2fill 1511 (11 d if;_3R75