1993, 04-22 Permit App: 93002786 Mechanical FixturesJOB STREET ADDRESS: S
CITY/STATE/ZIP: Spokane
OWNER: Jack Martin
MAILING ADDRESS:
MECH.IN!CAL P`RtJ1i: AFPLCATiON FO -h1
Infornation Worksheet4 -2,4 E
!✓ � f
821 Union
WA 99206
PARCEL NUMBER:
PHONE NUMBER: 928-0983
(Street)
CONTRACTOR: Inland Heating & Cooling
MAILING ADDRESS:
(City/State) SUNL0I107J6 (Z'P)
LICENSE NUMBER: SUNLOI101JB
PHONE NUMBER: 455-4147
3655 Govt. Way #12 Coeur d'Alene, ID 83814
(Street) (City/State)
MECHANICAL WORKSHEET/FEE SCHEDULE
DESCRIPTION
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
WOOOSTOVE/INSERT
GAS WATER HEATER
GAS EQUIPME�IT100,000 BTU (INCLUDES
_..:
GAS EQUIPMENT +100.000 BTU DUCTWORK)
GASPIPING (EA OUTLET)-
BOILER/REFRIG 1-100M BTU
BOILEF EFRIG�101-500M BTU
BOILER/REFRIG 501-1,000M BTU
BOILER/REFRIG 1,00011.;750M BTU
BOILER/REFRIG +1,750M BTU
HEAT PUMP ,A(R,CONDITIONER 0-3 TONS
HEAT PUMP & AIR CONDITIONER 3-15 TONS
HEAT1 UMP51.*:ia CONDITIONEfl 15-40 TONS;
HEAT PUMP & AIR CONDITIONER 30-50 TONS
NEAT PUMP Jf CONDITIONER+50 TONS
.VENTILATING FANS
EVAPORATIVEQOLERS
TYPE 1 HOOD (PER 12' OR 12' PTN. OF HOOD)
TYPE 11T0000,-,:>
CLOTHES DRYER
RANGE
GAS LOG
MISCELLANEOUS (NOT COVERED ELSEWKERE
UNLUS 1 tU GAS APPLIANCE <400.000 STU
UL1NSTED GAS APPLJ1ANC,E >400.000 BTU
USED APPLIANCE <400.000 BTU
USED APPLIANCE >400p00 IQTU
ArR HANDLER <10.000 CFU
AIR HANDLER >10.000 CFU
(Zip)
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE
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 =
x 50.00 =
x 10.00
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
PLUS: PROCESSING FEE
24 00
1; 25.00
EOUALS: TOTAL PERMIT
FEE DUE
=5
49.00
Spokane County Division of Buildings