1992, 06-17 Permit App: 92004441 Heat PumpJOB STREET ADDRESS:
MECHANICAL PERMIT APPLICATION FORM
Information Worksheet
3729 S. Union Ct.
X2 -4\u1
I C1-5
CITY/STATE/ZIP:Spokane, WA 99206
OWNER: Bob Schmitt
PARCEL NUMBER:
PHONE NUMBER: 927-1731
MAILING ADDRESS:
(Street) (City/State) (Zip)
CONTRACTOR: Allied Heating, Inc. LICENSE NUMBER: ALLIEI*200D4
PHONE NUMBER:
MAILING ADDRESS: 9309 E. Trent Spokane. WA 99206
928-8252
(Street)
(City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
DESCRIPTION OF UNITS UUNIT
DUCTWORK SYSTEM
WOC1DSTOVE/INSERT
GAS,' WATER HEATER
HE.TING EQUIPMENT <100,000 BTU
HEArTING EQUIPMENT +100,000 BTU
CTAS; 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
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
VENTILATING
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
FANS
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
CLQTHES DRYER
RANGE
QA:t LOG
i IliCELLANEOUS (NOT COVERED ELSEWHERE) _
UN ISTED GAS APPLIANCE <400,000 BTU_ _
QNJISTED GAS APPLIANCE >400,000 BTU_
US 1
US 1
£I1
NI]
D APPLIANCE <400,000 BTU
D APPLIANCE >400,000 BTU
HANDLER <10,000 CFM
HANDLER >10,000 CFM
= AMOUNT
x$10.00 =
x 25.00 =
x 10.00 =
x 12.00 =
x 15.00 =
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 =
12.UU
NOTE: MINIMUM PERMIT FEE IS $35.00
S.I 'NATURE
SUBTOTAL
$ 12.00
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
_ $ 37.00
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 9260 (509) 456-3675