Loading...
1993, 01-15 Permit App: 93000223 Gas Log, Piping tea,�v ��0 MECHANICAL PERMIT APPLICATION FORM 3- . &2 � � �r3 Informatio'n Works �he�ett OB STREET ADDRESS: + �p ITh w peA .pi CITY/STATE/Zr; T it _ PARCEL NUMBER: OWNER: 1`a �`� � 1 `� 1.1� PHONE NUMBER: 5.,\ .:10 35- MAILING ADDRESS: (Street) (City/State) ``�� (Zip) /`,� l� CONTRACTOR: 'I CS �. YJ�71C f LICENSE NUMBER: ry ��� ��C�i�w ff PHOT NUM/BER: �al�--( J ) MAILING ADDRESS: W l-\ O� iL�l �� q��L (Street) City/_State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS UNIT =AMOUNT ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) x 10.00 = 2111 _ x 500 GAS WATER HEATER x 10.00 = GAS -gnu IPMI_NT< 00,t B U(INCLUDES x 12.00 = GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 = x1.00 •GA• S>1'IpING:. ►,OUTL;;:: ....:>::.:: ':<:>°: €€ > =BOILER/REFRIG 1-100M BTU x 12.00 = •BOILER/REI=RIG101-500M:BTU .:<:: x 20.00 = BOILER/REFRIG 501-• 1,000M BT• U x 25.00 = BOILER/REI=RIG 1,0001-1,750M B11.J...•,....---- BOILER/ E1. < x 35.00 = BOILER/REFRIG +1,750M BTU x 60.00 = HEAP`PUMP It<AIR ONDIT•IONER 0-3 TONS x 12.00 = HEAT PUMP&AIR CONDITIONER 3-15 TONS x 20.00 = HEAT PUMP&AI.....-..:,,, ,-No.,,,:,,,,,......CINER 15.30 TONS x 25.00 = HEAT PUMP &AIR CONDITIONER 30-50 TONS x 35.00 = HEAT PUMP &AIH Ct NDITIONER+50 TONS x 60.00 = VENTILATING FANS x10.00 = EVAPORATIVE OO.LE:RS: :::; :' >' ::>:> ;::::.,: : ;``: -....... x 10.00 = .............: :..........:.:..::..................:......................................... x TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) x 50.00 = 1 _ CLOTHES DRYER x 10.00 = •RAN E :;;>::::::;:.;::`:;,:;.:::>; ;.;:: :>>:;;:;.:::.; ::; x 10.00 = :.;;.:::....:.:................................................... GAS LOG {� x 10.00 = all ,o MISCELLANEOUS(NOT OVEREI LSEWHER x 10.00 = UNLISTED GAS APPLIANCE<400,000 BTU x 50.00 = ULINSTEDGAS APPLIANCE>400,00 BTU x100.00= USED APPLIANCE<400,000 BTU x 50.00 = USED APPLIANCE X00,000 BTU....::.... x100.00 = AIR HANDLER<10,000 CFM x 12.00 = AIR HANDLER>10,000 CFM <: x 15.00 = SUBTOTAL $ PLUS: PROCESSING FEE +$ 25.00 NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS: TOTAL PERMIT FEE DUE _$ L�,D SIGNATURE\ CAH' tY Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675