Loading...
1990, 01-17 Permit App: 90000198 Wood Stove y MECHANICAL PERMIT APPLICATION FORM Information Worksheet JOB STREET ADDRESS: 5-1-6;20/. CITY/STATE/ZIP:j,Mc . /e GUQ r 9703 `7 PARCEL NUMBER: �` 44-7 is (od<I ®-F-R+•;• (04--6. V°/'�z Y 4 13 OWNER:/Q/// e-", jetwer( dQ PHONE NUMBER: f2y--�,L-5�3 Q � MAILING ADDRESS:/` l r 80)c 776 (Street) -�--� (City/State) (Zip) CONTRACTOR: ,A(p fc9cSI/c,Co,-J�c LICENSE NUMBER:Ot-Ai5C J 333 1 PHONE NUMBER^:'F3-766 F :. MAILING ADDRESS:. 3O0 Ago IG�P.itAce �7 ®/ / la? o�'• (Street) City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS UNIT = AMOUNT DUCTWORK SYSTEM x$10. 00 = WOODSTOVE/INSERT ! x 25.00 = , 5,00 GAS WATER HEATER x 10. 00 = HEATING EQUIPMENT <100, 000 BTU x 12 . 00 = HEATING EQUIPMENT +100, 000 BTU x 15. 00 = GAS PIPING (EA OUTLET) x 1. 00 = 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 $ LSU% PLUS: PROCESSING FEE + $ 25 . 00 EQUALS : TOTAL PERMIT NOTE: MINI�/U]M $ RMIT F E IS $35. 00 FEE DUE = $ (CV SIGNATURE , � ' 1 ! v/, Spokal County Department of Building_ and Safety West 1303 Broadway Avenue Spokane, WA 92260 (509) 456-3675