1992, 11-10 Permit App: 92009955 Mechanical Fixtures MttitUANIVML rttt $ Arrub
MlA I Rill rUnm 9 D-99 SS
Information Worksheet V 6 8
JOB STREET ADDRESS: S3 t-2._ S - •.
CITY/STATE/ZIP: PARCEL NUMBER:
OWNER:
- 0 PHONE NUMBER:
MAILING ADDRESS: S911-2_--• %- v ti _ J A._4___, 2� 7-c9'C.
(Street) (City/S te) (Zip)
CONTRACTOR: €A- nzows Mc Ah` c..LICENSE NUMBER: R it k-{.-nt 1 t o R L
PHONE NUMBER: q-Z.i- 5o c, c,
MAILING ADDRESS: g- \s 9%.L V,., A.'S g t'e...k4 .14'.3a V--,"-....--%.� L
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k i
(Street) (Ci y/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
DESCRIPTION OF UNITS UNIT = AMOUNT
DUCTWORK SYSTEM x$10.00 =
WOODSTOVE/INSERT x 25.00 =
GAS WATER HEATER L x 10.00 = 1 t-
HEATING EQUIPMENT <100,000 BTU x 12.00 = L2
HEATING EQUIPMENT +100,000 BTU x 15.00 =
GAS PIPING (1 - 4 OUTLETS) x 4.00 =
GAS PIING (5 OR MORE. EACH: ) -Z_ x 1.00 = "2
REFRIG 1-100M BTU (NOT A/C OR HEAT PUMP) x 12.00 =
REFRIG 101-500M BTU x 20.00 =
REFRIG 501-1,000M BTU x 25.00 =
REFRIG 1,001-1,750M BTU x 35.00 =
REFRIG +1,750M BTU x 60.00 =
HEAT PUMP & AIR CONDITIONER 0-3 TONS _ _ x 12.00 =
HEAT PUMP & AIR CONDITIONER 3-15 TONS _ x 20.00 =
HEAT PUMP & AIR CONDITIONER 15-30 TONS _ x 25.00 =
HEAT PUMP & AIR CONDITIONER 30-50 TONS _ x 35.00 =
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 II 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. '+�
PLUS: PROCESSING FEE + $ 25.00
^
EQUALS: TOTAL PERMIT
NOTE: 71,147M PE IT FEE IS $35.00 FEE DUE _ $ 4 Q,?�
SIGNATURE )"a
Spokane County Department of Building and Safety_. ___ ____