1991, 12-18 Permit App: 91008703 Mechanical FixturesJOB STREET ADDRESS:
CITY/STATE/ZIP:
OWNER: ;ilea..44 J
MECHANICAL PERMIT APPLICATION FORM
Information Worksheet
S� 5 g
t -)A 9 %Q W PARCEL NUMBER:
9cQ V -'7/6o
PHONE NUMBERS
MAILING ADDRESS:
(Street)
(City/State)
CONTRACTOR: AIM QUALITY HEATING LICENSE NUMBER: AMVAMR_iVOl_i
E 121/TOTNDIANAAVE.
SPOKANE; WA 99216
MAILING ADDRESS:
(Street)
(Zip)
PHONE NUMBER: 921-2100
(City/State)
MECHANICAL WORKSHEET/FEE SCHEDULE ,
NUMBER X EACH
OF UNITS UNIT
DESCRIPTION
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER
HEATING EQUIPMENT <100,000 BTU i _
HEATING EQUIPMENT +100,000 BTU
GAS PIPING (EA OUTLET)
REFRIG 1-100M BTU (NOT A/C OR HEAT PUMP)
REFRIG 101-500M BTU
REFRIG 501-1,000M BTU
REFRIG 1,001-1,750M BTU
REFRIG +1,750M BTU
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
FANS
IMO ;mai.
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
VENTILATING
0-3 TONS _
3-15 TONS
15-30 TONS
30-50 TONS
+50 TONS
EVAPORATIVE COOLERS
TYPE I HOOD (PER 12' OR 12' PTN. OF' HOOD)
TYPE II HOOD
CLOTHES DRYER
RANGE
GAS LOG
MISCELLANEOUS (NOT COVERED ELSEWHERE)
UNLISTED GAS APPLIANCE <400,000 BTU_
UNLISTED GAS APPLIANCE >400,000 BTU_
USED APPLIANCE <400,000 BTU
USED APPLIANCE >400,000 BTU
AIR HANDLER <10,000 CFM
AIR HANDLER >10,000 CFM
(Zip)
= AMOUNT
•x$10.00
x 25.00 Is
x 10.00'=
x 12.00. _
x 15.00 =
x• 1.00 me
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 =
X 10.00 =
x 10.00 =
x 10.00 =
x10.00 =
x 10.00 =
x 50.00 =
X100.00 =
X 50.00 =
x100.00 =
X 12.00 =
x 15.00 =
/,2,00
/100
NOTE: MIN, M P RMIT
SIGNATURE_
IS $35.00
SUBTOTAL
PLUS: PROCESSING FEE
$ 13,00
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE = $ 33,0o
Spokane County Department of Budding and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675