Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
1992, 05-18 Permit App: 92003472 Mechanical Fixtures
// MECHANICAL PERMIT APPLICATION FORM ._41nfo oration Worksheet. /- /" ' ' / JOB STREET ADDRESS: P.-7 I c 5. V CL ie... CITY/STATE/ZIP: ' b(<Ai1‘1:, IAJ14 - 7 PARCEL NUMBER: 7_55_3 - /o/ OWNER: fv L43/'r N C.4•10‘0‘ PHONE NUMBER: 9 z c(- MAILING ADDRESS: (Street) _ (City/State) (Zip) CONTRACTOR: rP ' C 4 c SL IFItICENSE NUMBER: 7bP,C-S( ?- �✓lC<' PHONE NUMBER: c3S- �7.{ MAILING ADDRESS: C' (Ion 1 sPOKi-fC 95%2.1)2_ (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS UNIT =AMOUNT ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) x 10.00 = x25.00 = GAS WATER HEATER - x 10.00 = CAS EQUIf?M: ' f00# INCLUDES<>:> >:` IP<:>_:;> x 12.00 = GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 = GAS PIPING(EA OUTLET) x 1.00 = BOILER/REFRIG 1-100M BTU x 12.00 = ::13`"11 :;:/REFR1, .>-_ ..;1;..:=>:.;_,:>:;M B. ,;>-::`: >>`<'»:_: :< ><> >>> > > '> >» = Q....1=R/:.:.: :;_ Cx.....� -v�0 � -------..:::<:::>:::: ;>;::::<::< :.:::: .........� x 20.00 BOILER/REFRIG 501-1,000M BTU x25.00 = BOILER/REFRIG0001---1zOMBTo : »:_:::___::»::::_::;: x35.00 BOILER/REFRIG +1,750M BTU x 60.00 = HEAT PUMP:E&AtR:CONDITio.NER 0;3 TONS > ...:..:"::.I� 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 T'ONS =:>_><:=>_ o -x 60.00 = VENTILATING FANSx 10.00 = x 10.00 = :::::::.�::-;::--:>;;:.;:�:<.;;;:.;:;:::.::::.::: <.::;:::>. TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) x 50.00 TYPEI I HOOD::::: :::.':::: �:: ;>> :: `:=:: ::..::.:.....:::: x 10.00 = CLOTHES DRYER:::::::..............._..................._.._........._._._._.... x 10.00 = (a x 10.00 = GAS LOG / x 10.00 = /0 MISCELLANEOUS;(NOT COVERED ELSEWHERE x 10.00 = UNLISTED GAS APPLIANCE<400,000 BTU x 50.00 = ULINSTED GAS APPLIANCE>400,000 BTU • x100.00= USED APPLIANCE<400,000 BTU x 50.00 = USED APPLIANCE X400,000 BTU :::: x100.00= AIR HANDLER<10,000 CFM x 12.00 = AIR HANDLER>1 a b00'CFM x 15.00 = SUBTOTAL $ 2A-c”! PLUS: PROCESSING FEE +$ 25.00 NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS: TOTAL PERMIT , /? FEE DUE = $ SIGNATURE (PI Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675