1990, 03-09 Permit App: 90000806 Furnace, PipingPA 1ANICAL Pf R11 1T APP`LICATIO'N 1111RNI
Information Worksheet
JOB STREET ADDRESS: E. 14121 Sinto
CITY/STATE/ZIP: Spokane, Wa. 99216
OWNER: Joe Eschenbeeher
same as above
MAILING ADDRESS:
PARCEL NUMBER:
PHONE NUMBER: 926-2356
(Street) (City/State) (Zip)
CONTRACTOR: Norco Heating & Air Inc. LICENSE NUMBER: NORCOHA17ORZ
PHONE NUMBER: 534-4975
Spokane, Wa. 99212
(City/State)
Cond.
MAILING ADDRESS: E4 5051 Trent
(Street)
MECHANICAL WORKSHEET/FEE SCHEDULE
OF UNITS BER XUNITH
DESCRIPTION
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER
HEATING EQUIPMENT <100,000
HEATING EQUIPMENT +100,000
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 +1,75OM BTU
HEAT PUMP & AIR CONDITIONER 0-3 TONS
HEAT PUMP & AIR CONDITIONER 3-15 TONS _
HEAT PUMP & AIR CONDITIONER 15-30 TONS _
HEAT PUMP & AIR CONDITIONER 30-50 TONS _
HEAT PUMP & AIR CONDITIONER +50 TONS
VENTILATING FANS
EVAPORATIVE COOLERS
TYPE I HOOD (PER 12' OR 12' PTN. OF' HOOD)
TYPE II HOOD
BTU
BTU
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
1
(Zip)
= AMOUNT
x$10.00 =
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 =
12.00
1.00
NOTE: MINI�MU(JM PERMIT FEE IS $35.00
✓ QI /L
Spokane County. Department of Building_ and Safety
West 1303456-3675
Broadway Avenue Spokane, WA 929260 (509)
SIGNATURE
SUBTOTAL
$ 13.00
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
$ 38.00