1993, 06-07 Permit App: 93004361 Mechanical Fixturesq,ot 10 1 I L--1 MECH.IN!CAL P PMI: APPLICATION FORM
A Information Worksheet
JOB STREET ADDRESS: 4707 N. Sunnyvale
CITY/STATE/ZIP: Spokane, WA 99216
OWNER: John Geyer PHONE NUMBER: 928-2039
L-13-q5cli
(5-1(19
PARCEL NUMBER:
MAILING ADDRESS:
(Street)
CONTRACTOR: Inland Heating & Cooling
MAILING ADDRESS:
(City/State) SUNLOI107J6 (Zip)
LICENSE NUMBER: SUNLOI101JB
PHONE NUMBER: 455-4147
3655 Govt. Way 1112 Coeur d'Alene, ID 83814
(Street)
(CitylState) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER
OF UNITS
DESCRIPTION
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
WOOOSTOVE/1NSERT
GAS WATER HEATER
GASEQUIP MENT <100,000 BTU (INCLUDES
GAS EQUIPMENT +100,000 BTU DUCTWORK)
GAS PIPJNG (EAOUTLET)
BOILER/REFRIG 1-100M BTU
BOILER/REFRIG1101-500M BTU
BOILER/REFRIG 501-1,000M BTU
BOILER/REFRIG :1.0001-1,750M BTU .`
BOILER/REFRIG +1.750M BTU
HEAT;PUMP$,A(RrCONDITIONER 0-3 TONS
HEAT PUMP & AIR CONDITIONER 3-15 TONS
HEATAUI�IIP�&°113 CONDITIONER 15_30 TONS
HEAT PUMP 8, AIR CONDITIONER 30-50 TONS
H EAT PUMP.aCONDITIONER +50 TONS
•VENTILATING FANS
EVAP.ORATf VE .00LERS
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
TYPE 1111000 `. .
CLOTHES DRYER
RANGE
GAS LOG
MISCELLANEOUS (NOT COVER® ELSEWHERE
UNLISTED GAS APPUANCE <400,000 BTU
ULINSTED GAS APPLIANCE >400,000 BTU
USED APPLIANCE <400A00 BTU
USED APPLIANCE >400,000 BTU
AfR HANDLER <10.000 Cwt
AIR HANDLER >10.000 CFU
NOTE: MINIMUM PERMIT FEE IS 535.00
SIGNATURE
X EACH
UNIT
MOUNT
1
1
2
x 10.00
x 25.00 =
x 10.00 =
x 12.00 =
x 15.03 =
x 1.00 =
x 12.00 =
x 20.00 =
x 25.00 =
x35.00 =
x 60.00 =
x 12.00 =
x20.00 =
x 25.00 =
x 35.00 =
x 60.00 =
x 10.00 =
x 10.00 =
x 50.00 =
x 10.00
x 10.00 =
x 10.00 =
x 10.00 -
x 10.00 -
x50.00 -
x100.00 -
x 50.00 -
x100.00 -
x 12.00
x 15.00
10.00
12.00
2.00
SUBTOTAL
PLUS: PROCESSING FEE
S
VI 00
t$ 25.00
EOUALS: TOTAL PERMIT
FEE DUE
49.00
=S
Spokane County Division of Buildings