1993, 11-02 Permit App: 93010600 Water Heater, PipingJOB STREET ADDRESS:
CITY/STATE/ZIP: y�
OWNER:
IYICI,flMWlumL. 'r
------ - - -
Informatie: Worksheet
F'
%-vRe--a_A) ingiq
MAILING ADDRESS:
CONTRACTOR:
1071--(D
PARCEL
9 3 -/66o�
NUMBER:
PHONE NUMBER:
MAILING ADDRESS:
Fraox?''
(Street)
mmiiiimmakiminsamsezemmonallmommammo
MECHANICAL,WORKSHEET/FEE SCHEDULE
NUMBER X EACH
OF UNITS UNIT
9a1--1-(67-7?
(City/State) (Zip)
LICENSE NUMBER: K/7‹: 5��
/" �0�
PHONE NUMBER: 534--/-1-109n
ve9444 .�
(City/State) (Zip)
DESCRIPTION
= AMOUNT
DUCTWQRK 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
ID1V(D
1)00
NOTE: MINIMUM P RMIT_mkgsUpP 35.00
Are
Spokane Coun Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
SIGNATURE
SUBTOTAL
PLUS: PROCESSING FEE
EQUALS: TOTAL PERMIT
FEE DUE
$ ADO
+ S 25.00