HomeMy WebLinkAbout 1992, 12-15 Permit App: 92010948 Water Heater, PipingMECHANICAL PERMIT -APPLICATION FORM
Information Worksheet ,
JOB STREET ADDRESS: t--1/0/ VA-L,L;,i(.)/ f✓ 2 3 L
CITY/STATE/ZIP: Pc- t t%1./. PARCEL NUMBER: / `� - Q�I
OWNER: 1 7-.)fi ii D i --M LtA
MAILING ADDRESS:
PHONE NUMBER: - 7I) 9
(Street) (City/State) (Zip)
CONTRACTOR: 1.04 /Zjl y} P .1,LiL, LICENSE NUMBER: ,r-P/M-P7/}EJ 9gkL
PHONE NUMBER: -47253:-(C);0 7
MAILING ADDRESS: i5.52)/F' Z4(), ,- , - /CD c, c i - L aA--
(Street) (City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
OF UNITS UNIT
DESCRIPTION
= AMOUNT
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER
HEATING EQUIPMENT <100,000 BTU
HEATING EQUIPMENT +100,000 BTU
GAS PIPING (1 - 4 OUTLETS)
GAS PIING (5 OR MORE. EACH:)
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 & AIR CONDITIONER 0-3 TONS _
HEAT PUMP & AIR CONDITIONER 3-15 TONS
HEAT PUMP & AIR 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 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
x$10.00 =
x 25.00 =
x 10.00 =
x 12.00 =
x 15.00 =
x 4.00 =
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 =
/t)
c�k
SUBTOTAL
/y
$
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
NOTE: MINIMUM PERM FEE IS 35.00 FEE DUE _ 4,. --/-/
SIGNATURE __ ¢ ��1
39
Spokane Cou Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675