HomeMy WebLinkAbout1992, 01-21 Permit App: 92000323 Mechanical Fixtures ‘59-1-3- l ° $ b G9 PERMIT APPLICATION FORiH cta-- 3-a,-.
2�o,.a1 `� MECHANICAL
c Information Worksheet 1�sb
JOB STREET ADDRESS: I-Z 6 2 3 C� v A 1--
U AN
CITY/STATE/ZIP: L �" `�?��` PARCELUMBE :
,�� PHONE NUMBER: 91&- - d S-S`/
OWNER: �
MAILING ADDRESS:
(Street) (City/State) (Zip)
CONTRACTOR: )- r LICENSE NUMBER: T.Qp F .;k 1 6 1 '3L
PHONE NUMBER: -2- `1 2 b
MAILING ADDRESS: f_ mc-c- f/L„_-u bot)- 1
(Street) City/State) (Zip)
MECHANICAL WOPY HEEt/FEE SCHEDULE
NUMBER X EACH
DESCRIPTION OF UNITS UNIT = AMOUNT
DUCTWORK SYSTEM x$10.00 =
WOODSTOVE/INSERT x -25.00 =
GAS WATER HEATER 1 x 10.00 = 10 . a 0
HEATING EQUIPMENT <100, 000 BTU 1 x 12.00 =, < vz., O U
HEATING EQUIPMENT +100, 000 BTU x 15.00 =
GAS PIPING (EA OUTLET) z- x 1.00 = 2- 0c)
REFRIG 1-100M BTU (NOT A/C OR. HEAT PUMP) x 12.00 wr,
REFRIG 101-500M BTU x120.00;,= , :°. _',
REFRIG 501-1,000M BTU _ x,„25:00 .
REFRIG 1,001-1,750M BTU x ,35.06(,= , •,''t ,
REFRIG +1,750M BTU _ _ 5C60.00 =
HEAT PUMP & AIR: CONDITIONER 0-3 TONS x 12.00_;= .HEAT PUMP & AIR CONDITIONER 3-15 TONS )020:00:'=, r
HEAT PUMP & AIR CONDITIONER 15-30 TONS X 25.00 =
HEAT PUMP & AIR CONDITIONER 30-50 TONS _ x 35.00 Y
HEAT PUMP & AIR CONDITIONER +50 TONS _ x 60.00 ;.= , .
VENTILATING FANS x 10.00:.=
EVAPORATIVE ' COOLERS x 10.00 ;:=
TYPE I HOOD (PER 12 ' OR 12 ' PTN. OF HOOD) x 50.00, =
TYPE TT HOOD _ x 10.00 =
CLOTHES DRYER x 10.00;= _�
RANGE x 10.00
GAS LOG x 10.00
MISCELLANEOUS (NOT COVERED ELSEWHERE)_ x 10.00
UNLISTED GAS APPLIANCE <400, 000 BTU_ x 50.00 =
UNLISTED GAS APPLIANCE >400, 000 BTU_ x100.00 =
USED APPLIANCE <400, 000 BTU x 50.00 =
USED APPLIANCE >400, 000 BTU x100. 00 =
AIR HANDLER <10, 000 CFM x 12 . 00 =
AIR HANDLER >10, 000 CFM x 15.00 =
SUBTOTAL $ Z(-1. ov
PLUS: PROCESSING FEE +. $ 25. 00
EQUALS: TOTAL PERMIT
NOTE: MINIMUM PERMIT FEE IS $35. 00 FEE DUE = $ 17. 0 G
SIGNATURE 7/L
ane /
o 'aunty Department of Building and Safety
West 13 3 Broadway Avenue Spokane, WA 9260 (509) 456-3675