1990, 11-27 Permit App: 90006389 Mechanical Fixtures MECHANICAL PERIPT APi'ija1 zi FORM �' - o�gY
Informatics Worksheet
JOB STREET ADDRESS: North 10,,N Stout '� /7S%vt -- //en y
CITY/STATE/ZIP: Spokane, WA 99206 PARCEL NUMBER: /01',4 Aecw,Ve
OWNER: Mike Simmons PHONE NUMBER: ( 509)922-4774
MAILING ADDRESS: North 1030 Stout, Spokane, WA 99206 X 7
• (Street) (City/State) (Zip)
CONTRACTOR: Steinmetz Heating & A/C LICENSE NUMBER: STEINHA247KF
PHONE NUMBER: ( 509 )922-2034
MAILING ADDRESS: 2206 North Pines Road Spokane, WA 99216
(Street) (City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
DESCRIPTION OF UNITS UNIT = AMOUNT
DUCTWORK SYSTEM x$10.00 =
WOODSTOVE/INSERT x 25.00 =
GAS WATER HEATER x 10.00 =
HEATING EQUIPMENT <100, 000 BTU x 12. 00 = 1.4
HEATING EQUIPMENT +100, 000 BTU x 15. 00 =
GAS PIPING (1 - 4 OUTLETS) 1
x 4. 00
GAS PIING (5 OR MORE. EACH: ) x 1. 00 =
REFRIG 1-1OOM BTU (NOT A/C OR HEAT PUMP) x 12. 00 =
REFRIG 101-500M BTU x 20. 00 =
REFRIG 501-1,000M BTU x 25. 00 =
REFRIG 1, 001-1,750M BTU x 35. 00 =
REFRIG +1,750M BTU x 60. 00 =
HEAT PUMP & AIR CONDITIONER 0-3 TONS _ x 12. 00 =
HEAT PUMP & AIR CONDITIONER 3-15 TONS _ x 20. 00 =
HEAT PUMP & AIR CONDITIONER 15-30 TONS _ x 25. 00 =
HEAT PUMP & AIR CONDITIONER 30-50 TONS x 35. 00 =
HEAT PUMP & AIR CONDITIONER +50 TONS _ - x 60. 00 =
VENTILATING FANS x 10. 00 =
EVAPORATIVE COOLERS x 10. 00 =
TYPE I HOOD (PER 12 ' OR 12 ' PTN. OF HOOD) x 50. 00 =
TYPE II HOOD x 10. 00 =
CLOTHES DRYER x 10. 00 =
RANGE x 10. 00 =
GAS LOG x 10. 00 =
MISCELLANEOUS (NOT COVERED ELSEWHERE)_ _ x 10. 00 =
UNLISTED GAS APPLIANCE <400,000 BTU_ _ _ x 50. 00 =
UNLISTED GAS APPLIANCE >400, 000 BTU_ _ _ x100. 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 $ /6.U0
PLUS: PROCESSING FEE + $ 25. 00
EQUALS: TOTAL PERMIT^
NOTE: MINIMU� ERMI FEE IS $35.00 FEE DUE $ �Yo 6
SIGNATURE 17yp.5
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675