1991, 08-30 Permit App: 91005458 Mechanical Fixtures .
MECHANICAL PERMIT APPLICATION FORM -iu4-elcdS
Information Worksheet L , 8
JOB STREET ADDRESS: 1222 N . Vista
CITY/STATE/ZIP. P
. S o k a n e � .N A 9 212 PARCEL NUMBER: / 641 -67 / C?
�
OWNER: Mary Kent PHONE NUMBER:
MAILING ADDRESS: -
(Street) (City/State) (Zip)
CONTRACTOR:• Allied Heating , Inc . LICENSE NUMBER: ALLIEI*200D4
PHONE NUMBER: 928-8252
MAILING ADDRESS: 9309 F . Trent Spnkana WA 99711�
(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 =
GAS WATER HEATER x 10.00 =
HEATING EQUIPMENT <100,000 BTU I x 12.00 = )(2. 00
HEATING EQUIPMENT +100, 000 BTU x 15.00 =
GAS PIPING (EA OUTLET) I x 1.00 = ) / o
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 I x 12 .00 = /a,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 121 PTN. OF HOOD) x 50. 00 =
TYPE II HOOD x 10.00 =
CLOTHES DRYER x 10.00 =
RANGE x. 10.00 = .4_.
GAS LOG x 10.00 =
MISCELLANEOUS (NOT COVERED ELSEWHERE)_.a _`• • f • K 1040 =
•
UNLISTED GAS APPLIANCE <400,000 BTU_ _ _ x 50.0'0 =
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 $ 25 .00
PLUS: PROCESSING FEE + $ 25.00
EQUALS: TOTAL PERMIT
NOTE: MINIMUM PERMIT FEE IS $35.00 FEE DUE = $ 50 .00
SIGNATURE ,�c -(- vim 1)
Spokane County Department of Building_ and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 •
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