1994, 09-16 Permit App: 94009082 FurnaceJOB STREET ADDRESS:
MLUP1ANI AL I'tHMI I ArrLIL A I 'UN rVHM
information Worksheet
.
CITY/STATE ZIP:. i) �l�' cr- i.v , /Liz' 7 9-, 3 PARCEL NUMBER:
OWNER: 1/ PHONE NUMBER: ',J?r- ,v,_
MAILING ADDRESS:
CONTRACTOR: AL -4--/-7- o
(Street)
• (City/State) (Zip)
LICENSE NUMBER: / )f',(O /iAis % 6
/ PHONE NUMBER:15 3 1/ - i/1
MAILING ADDRESS: ,._79- C /JO- /L )a � .-4/,t
(Street) ✓ (City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
DESCRIPTION
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
,WOODSTI;VE/INSERrib.
GAS WATER HEATER
GAS EQUIPMENT+C100,000 $TU (INCLUDES
GAS EQUIPMENT +100,000 BTU DUCTWORK)
GAS:PIPING (EA OUTLE)
BOILER/REFRIG 1-100M BTU
BOILEA1REFRIG;;101 500M BTU
BOILER/REFRIG 501-1,000M BTU
BOILER/REFRIG 1,0001-1,750M.BTU
BOILER/REFRIG +1,750M 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 t AIR CONDITIONER`+50'TONS
...........:.....
VENTILATING FANS
EVAPORATIVE COOLERS
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
TYPE IrHOOD
CLOTHES DRYER
RANGE
GAS LOG
`MISCELLANEOUS(NOT COVERED ELSEWHERE
UNLISTED GAS APPLIANCE <400,000 BTU
ULINSTED GAS APPLIANCE)400000 BTU
USED APPLIANCE <400,000 BTU
USED APPLIANCE BTU
AIR HANDLER <10,000 CFM
AIR.HANDLER >10000 CFM
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE) �c
/---174P
NUMBER
OF UNITS
X EACH
UNIT
=AMOUNT
x 10.00 -
x25.00 -
x 10.00 -
x 12.00 -
L9, 30
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 a
x 35.00 -
x 60.00 =
x 10.00 -
X10.00 a
x 50.00 =
X 10.00 -
x 10.00 =
x10.00 =
X 10.00 -
•
X 10.00 -
X 50.00 =
X100.00 -
x 50.00 -
x100.00 -
X 12.00 a
x 15.00 -
SUBTOTAL
$ /4. J O
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
- $ S 7,,9( )
Spokane County Division of Buildings
West 131 'way Avenue Spokane. WA 99260 (509) 456-3675