HomeMy WebLinkAbout1993, 03-11 Permit App: 93001400 Mechanical Fixturesa r Loo
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MECHANICAL PERMIT APPLICATION FOAM
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rr II formation Worksheet
JOB STREET ADD ESS: 1 U, E E. " CL ( (,c?CZ 32
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CITY/STATE/ZIP:. L5 Pi q cf ;((L' QJARCEL UMBER:
OWNER: ,11 r r-) . C' eto PHONE NUMBER: T / - /S2 7(
MAILING ADDRESS:
(Street) (City/State) y� (Zip)
CONTRACTOR: A (n C(1 ' A! [t LICENSE NUMBER: 1JQCC((L1 / 102 z-
/ PHONE NUMBER: Ni.--)- �/ Li q7,--)--
MAILING
7MAILING ADDRESS: r , 5 /0 3 Hui Z f \._ pLc,f1 (79 1,f ,)
(Street) (City/State)
MECHANICAL WORKSHEET/FEE SCHEDULE
DESCRIPTION
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
WOODSTOVE/NSEIT < <..... .
GAS WATER HEATER
::GAS EQUIPMENT <100,000.BTLJ (INCLUDES
GAS EQUIPMENT +100,000 BTU DUCTWORK)
GAS PIPING(EA:OUTLE1) ..:
BOILER/REFRIG 1-100M BTU
BOILER/REFRIG toy-500M:BTU
BOILER/REFRIG 501-1,000M BTU
BOILER/REFRIG l',40011 -,750W
BOILER/REFRIG
BOILER/REFRIG +1,750M BTU
HEAT PUMP & AIRCONDITIONER 0-3 TONS
HEAT PUMP & AIR CONDITIONER 3-15 TONS
HEAT PUMP & A!R CONDITIONER 15-30 TONS:
HEAT PUMP & AIR CONDITIONER 30-50 TONS
HEAT PUMP & AIR CONDITIONER +50 TONS
VENTILATING FANS
EVAPORATIVE COOLERS
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
..................................... ............
TYPE 11 HOOD
CLOTHES DRYER
RANGE
. ...:.............::
GAS LOG
MISCELLANEOUS (NOT COVERED ELSEWHERE
UNLISTED GAS APPLIANCE <400,000 BTU
ULINSTED 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
NOTE: MINIMUM PERMIT FEE IS $35.00
(Zip)
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
x 10.00 =
x 25.00 =
x 10.00 =
x12.00=
x 15.00 =
x 1.00 =
x 12.00 =
x 20.00 =
x 25.00 =
x 35.00 =
x 60.00 =
x12.00 =
x 20.00 =
x 25.00 =
x 35.00 =
x 60.00 =
x 10.00 =
x 10.00 =
x50.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 1,0.00 =
x 50.b0 =
x100.00 =
x 50.00 =
x100.00 r_
x 12.00 =
x 15.00 =
/Q, (2')
4)
(2
$ /D
SUBTOTAL
PLUS: PROCESSING FEE
kW.
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
C /
_$ 1
k SIGNATURE Cl�*-•
Spokane County Division of Buildings
West 3roadway Avenue Spokane, WA 99260 (509) 456-3675