1993, 04-22 Permit App: 93002788 Mechanical FixturesMECHANCCAL.- PERMIT APPLICATION FORM
Information Workstieet
JOB STREET ADDRESS: 11010 E. Sundown
CITY/STATE/ZIP: Spokane 99206 PARCEL NUMBER- '/553. ' 03D4
OWNER: John Giesen PHONE NUMBER: 922-0$54
MAILING ADDRESS:
(Street) (City/State) SUNLOI107J6 (ZIP)
CONTRACTOR: Inland Heating & Cooling
MAILING ADDRESS:
LICENSE NUMBER: SUNLOI1OIJB
PHONE NUMBER: 455-4147
3655 Govt. Way 1112 Coeur d'Alene, ID 83814
(Street)
(City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER
OF UNITS
DESCRIPTION
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
WOOOSTOVE/INSERT
GAS WATER HEATER
GAS-EQUIPMENT<100,000 BTU (INCLUDES
GAS EQUIPMENT +100,000 BTU DUCTWORK)
GASPIPING EAOUTL
BOILER/REFRIG 1-100M BTU
BOILERIREFRIG1101-S00M BTU
BOILER/REFRIG 501-1,000M BTU
BOILER/REFRIG 1,0001:-1,750M BTU
BOILER/REFRIG +1,750M BTU
HEATPUMPAIR;CONDITIONER 0-3 TONS
HEAT PUMP & AIR CONDITIONER 3-15 TONS
HEATPUMPi&`sA113:CONDIT1ONER ` 5-30TONS
HEAT PUMP & AIR CONDITIONER 30-50 TONS
HEATPLt.0.0 & gCONDITIONER x+50 TONS
•VENTILATING FANS
EVAPORATIVEAOLERS
TYPE I H000 (PER 12' OR 12' PTN. OF HOOD)
TYPE1r44 XWK r 4
CLOTHES DRYER
RANGE ..
GAS LOG
MISCELLANEOUS (NOT COVERED ELSEWHERE
UNLISTED GAS APPLE <400,000 BTU
ULIINSTED GAS APPLIANCE >400.000 BTU
USED APPLIANCE «00.000 BTU
USED APPLIANCE x.000 QTU
AfA HANDLER <10.000 CFM
AIR HANDLER >10,000 CFII4
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE
X EACH
UNIT
= AMOUNT
1
1
2
x 10.00 =
x 25.00 =
x 10.00 =
x 12.00 =
x 15.03 =
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 =
x50.00 =
x 10.00
x 10.00 =
x1C.00
x 10.00
x 10.00
x 50.00
x100.00
x 50.00 -
x100.00
x 12.00
x 15.00 =
10.00
12.00
2.00
SUBTOTAL
S 24.00
PLUS: PROCESSING FEE
+ $ 25.00
EOUALS: TOTAL PERMIT
FEE DUE
49.00
=5
Spokane County Division of Buildings