1993, 03-18 Permit App: 93001589 Water Heater //
MECHANICAL PERMIT.APPLICATION FORM Date: 3/(c( c' 5
Information Worksheet
JOB STREET ADDRESS: /t( -7 L 9 l/i S----A f
CITY/STATE/ZIP: 7pu�} �1 7`i'.-l �� PARCEL NUMBER: yJ/ `3 U/ '--?
OWNER: A (( Ok'c i- pS PHONE NUMBER: q�'{ .7'44 If ��I/ 33 i / (V
MAILING ADDRESS: Sc
(Street) (City/State) (Zip)
CONTRACTOR: Ripley ' s Plumbing, Inc. LICENSE NUMBER: RIPLEPI107B6
PHONE NUMBER: 509-535-1919
MAILING ADDRESS: 4104 E Pratt Spokane, WA 99202
(Street) (City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
DESCRIPTION OF UNITS UNIT AMOUNT
ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) x 10.00 =
W QS V�: =
00 T IN
............. . .
GAS WATER HEATER................................:..._...:.:............_ t x 10.00 = 1 0,0 cT
GAS twQUIRM1Tag t34,0(10I °U(IN :. :::::.:::
CLUDES ........._.::: _ x 12.00 =
.........................
GAS EQUIPMENT+100,000 BTU DUCTWORK) • x 15.00 =
;GAS PIPi.NG:(EA QUTLET} x 1.00 = •
BOILER/REFRIG 1-100M BTU x 12.00 =
ji.O{�gg:.tqgtlg0ngtYvk:..:.•.:.:...:•ns . :.�.:...:::>. •.:::n,
vn
X 20.
BOILER/REFRIG 501-1,000M BTU
. : ..- x 25.00
;;BOILERIREFII.1G ti?00 - 750M BTU >.:'`:": x 35.00 =
BOILER/REFRIG +1,750M BTU x 60.00 = " • -
;;; : PUMP&AIR CONDITIONER 03 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 =
:... APORATIVE COOLERS :: x 10.00 =
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) x 50.00 =
TYP EE.11.. _H
..................................................................... x 10.00 -
-
CLOTHES DRYER x 10.00 =
'RAN
Gr:: . ... ..., : .N...... : x 10.00 -
GAS LOG x 10.00 =
INTL 1#La.Ca-a..fa.a�< A S o ''t 111 1 t ` >:g x 10.00 =
UNLISTED GAS APPUANCE<400,000 BTU x 50.00 =
tl =
t, 5��
.,:P.E�A.
00 00
USED APPUANCE<400,000 BTU x 50.00 =
f.Y•::::::.,.::.:•r...:v. �.o•,;•.a+y...:. -t:.:J:.:::f:;..::: ::;..:-:t �':•`•::;;:;.'•.'t.,';:::E."r.�c.rY:t<..'•rr•:v;.°.:;:.q.'
SEiNal fI i�; I T I;.:« :;;::1 , > t : x100.00=
a,:.:,:.,..M..�.a t.+sc:.: aYi�A�:.:n.«.,.w.va.b:..,Y:-:..'a"ca:,,�fiori-'vR.?:.✓......N.n '• $f.,.z...w..�:c:,
AIR HANDLER<10,000 CFM x 12.00 =
�,vyx:.vy�r.,��.:{.•SG�;:xi{::•.vwvvy�n,�•{:rM+-wpv:vrvrvyy:.v-.v:.vn:�Y O't/ Y Y-v: ]ter:
./ .ry4Utj:fr V:}S;T'}+i.riiy�i`i?i.{':isliv.i:.'Y•:_::`ry::.{{:v'n:.-V::Y.�.
gk t`Ips.t I t*tfO:ONN .':,...... n...:.:.. x 15.00
.................
SUBTOTAL $ io.00
PLUS: PROCESSING FEE ' +$ 25.00
NOTE MINIMUM PER FEE I $35.00 EQUALS: TOTAL PERMIT
FEE DUE = $ 351,-- "
SIGNATURE ' - A t-c) heni'4ron r,cW oy l Ll f
fxx-i 24-Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675