1993, 06-07 Permit App: 93004352 Mechanical Fixturesq501" b.5 MECHANICAL PEPM T AFPL.ICATION FORM
NN9Va 4 , - 5 Infor.-nation Worksheet
JOB STREET ADDRESS: N. 4604 Sunnyvale
CITY/STATE/ZIP: Spokane, WA 99216 PARCEL NUMBER:
c1"5-1/35'
I57LfQf
OWNER: Karl Schimanski PHONE NUMSER: 928-7063
MAILING ADDRESS:
(Street) (City/State) SUNLOI107J6 (ZIP)
LICENSE NUMBER: SUNLOI101JB
CONTRACTOR: Inland Heating & Cooling
MAILING ADDRESS:
PHONE NUMBER: 455-4147
3655 Govt. Way 1112 Coeur d'Alene, Ill 83814
(Street)
(City/State)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER
DESCRIPTION OF UNITS
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
WOODSTOVE/INSERT
GAS WATER HEATER 1
GAS EQUIPMENT <100.000 BTU (INCLUDES 1
GAS EQUIPMENT +100,000 BTU DUCTWORK)
GAS:PIPING (EAOUTLET) . 2
BOILER/REFRIG 1-100M BTU
BOILER/REFRI 3101-500M STU
BOILER/REFRIG 501-1,000M BTU
BOILER/REFRIG:1 0001-1,750M BTU
BOILER/REFRIG +1,750M BTU
HEA'T:•PU,MP.&AIR;CONDITIONER 0-3 TONS
HEAT PUMP & AIR CONDITIONER 3-15 TONS
HEATPUMP.j&`tAiRCONDITIONER . 3O TONS
HEAT PUMP & AIR CONDITIONER 30-50 TONS
HEATPIUMPFCONDITIONER +50 TONS
•VENTILATING FANS
EVAPORA'T(VEQOLERS
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
TYPE 11#IOOD.: n. ,-
CLOTHES DRYER
RANGE
GAS LOG
MISCELLANEOUS (NOT COVE ELSEWHEFtE
UNLISTED GAS APPLIANCE <400,000 BTU
UUNSTED GAS APPLIANCE >400.000 BTU
USED APPLIANCE <400.000 BTU
USED APPLIANCE ,000 IPTU
AIR HANDLER <10.000 CFM
AIR HANDLER >10,000 CFI4
NOTE: MINIMUM PERMIT FEE IS 535.00
SIGNATURE 4--
X EACH
UNIT
= AMOUNT
1.
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 =
x 50.00 =
x10.00 =
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
10.00
12.00
2.00
SUBTOTAL
5 24.00
PLUS: PROCESSING FEE
+ 5 25.00
EOUALS: TOTAL PERMIT
FEE DUE
49.00
=5
Spokane County Division of Buildings