Loading...
1993, 06-23 Permit App: 93004990 Mechanical Fixtures IVIECHANICAL.P7tRIVIIT APPLICATION FORM G Information Worksheet JOB STREET ADDRESS: L- ( 3 eb' SrJ/Ct- LA-tre., CITY/STATE/ZIP: G,r tk cAist)a 'a o)to PARCEL NUMBER: • OWNER: 3 Acv ottCv1 -- PHONE NUMBER: 9°Z&'/3L, 5 MAILING ADDRESS: (Street) (City/State) (Zip) CONTRACTOR: rid 1 C t C/ C'.F,.1 f F-R LICENSE NUMBER: ( r)I co &tC. i %3 b L( PHONE NUMBER: (_'iC)(t) 67:.2G �'%1 / MAILING ADDRESS: ti • (!31 0,14(. `;J_ rii,.ic= ),i.=t c/92Cir (Street) (City/State) (Zip) ._ MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS UNIT =AMOUNT E-L ECTr ,,DUCTWORK(SEPARATE SYSTEMS) x 10.00 = 4YOODSTOV�/Ii SER x 25.00 = GAS WATER HEATER 1 x 10.00 = [a 00 GAS EQUIPMENT<100 000 TU (INCLUDES x 12.00 = GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 = 02 x 1.00 = ., 00 _ BOILER/REFRIG 1-100M BTU x 12.00 = _ECIL'F^Rf c c' lG:101..500 TU x20.00 = BOILER/REFRIG 501-1,000M BTU x 25.00 = SCILI=F iREFRIG 1,0001 '1 �50M B t U x 35.00 = BOILER/REFR►G+1,750M BTU --- -=--- • __! x 60.00 _ ! SEAT PUtrfP&AIR:CONDI CONDITION 0-3 TONS x 12.00 „HAAT PUMP &AIR CONDITIONER 3-15 TONS x 20.00 = HEAT.PUMP:&AIR:CONDITIONER_15-30 T OSS x 25.00 = HEAT PUMP&AIR CONDITIONER 30-50 TONS• - x 35.00 = , NEAT PUMP&AIR.CO IQITIONER +50 TON x 60.00 = _ • VENTILATING FANS _ x 10.00 = VAPORATIV COOL EPF x 10.00 = TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) x 50.00 TYPE, II HOOD a x 10.00 = CLOTHES DRYER _ x 10.00 = x. 10.00 = GAS LOG I x 10.00 = /o- OD MISCELLANEOUS(NOT COVERED ELSEWHERE x 10.00 = UNLISTED GAS APPLIANCE<400,000 BTU x 50.00 = ULINSTE 5 in nn B t BAS A, PL, i�C� 0,,,�.�?J �T.S ;: x i Ou.00= USED APPLIANCE<400,000 BTU x 50.00 = USED APPLIANCE>400,000 BTU : • - x100.00= AIR HANDLER <10,000 CFM _ x 12.00 = AIR HANDLER>10,000 CFM x 15.00 = SUBTOTAL _ o2.L 0o `PLUS: PROCESSING FEE +$ 25.00 NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS:TOTAL PERMIT FEE DUE =$ �1 SIGNATURE Spokane County Division of Buildings