1992, 06-29 Permit App: 92004843 Heat PumpJQ>lt STREET ADDRESS:
MECHANICAL'PERMIT APPLICATION FORM
Information Worksheet
3210 S. Whipple
c\"D- utu3
CITIY/STATE/ZIP: Spokane WA
%JUR: Lionel Draper
$fr;LING ADDRESS:
(Street)
QQTRACTOR: Allied Heating, Inc.
99906 PARCEL NUMBER:
PHONE NUMBER: 922-8509
;SLING ADDRESS: 9309 E Trent
(Street)
(City/State) (Zip)
LICENSE NUMBER: ALLIEI*200D4
PHONE NUMBER: 928-8252
Spnkene WA 99206
(City/State) (Zip)
.MECHANICAL•..WORKSHEETAEEE .SCHEDULE
NUMBER X EACH
OF UNITS UNIT
DESCRIPTION
DUCTWORK SYSTEM
$OODSTOVE/INSERT
9J 5 WATER HEATER
HEATING EQUIPMENT <100,000 BTU
HEATING EQUIPMENT +100,000 BTU
Q/$ PIPING (EA OUTLET)
REFRIG 1-100M BTU (NOT A/C OR HEAT PUMP)
REFRIG 101-500M BTU
REFRIG 501-1,000M BTU
REFRIG 1,001-1,750M BTU
REFRIG +1,750M BTU
HEAT PUMP & AIR CONDITIONER
HEAT PUMP & AIR CONDITIONER
HEAT PUMP & AIR CONDITIONER
HEAT PUMP & AIR CONDITIONER
,HEAT PUMP & AIR CONDITIONER
VENTILATING FANS
*VPPORATIVE COOLERS
TYRE I HOOD (PER 12'
YfE II HOOD
ILgpTHES DRYER
-
GE
LOG
0-3 TONS
3-15 TONS
15-30 TONS
30-50 TONS
+50 TONS
OR
12'
PTN. OF HOOD)
I CELLANEOUS (NOT COVERED ELSEWHERE)
N ISTED GAS APPLIANCE <400,000 BTU
UN ISTED GAS APPLIANCE >400,000 BTU
USF APPLIANCE <400,000 BTU
VSD APPLIANCE >400,000 BTU
I2 HANDLER <10,000 CFM
I2 HANDLER >10,000 CFM
1
= AMOUNT
x$10.00 =
X 25.00 =
x 10.00 =
x 12.00 =
x 15.00 =
x 1.00 =
x 12.00 =
x 20.00 =
x 25.00 =
x 35.00 =
x 60.00 =
x 12.00 =
x 20.00 =
x 25.00 =
x 35.00 =
x 60.00 =
x 10.00 =
x 10.00 =
x 50.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 50.00 =
x100.00 =
x 50.00 =
x100.00 =
x 12.00 =
x 15.00 =
12.00
NOTE:
OIGNATURE
MINIMUM PERMIT FEE IS $35.00
j
SUBTOTAL
$ 12.00
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
= $ 37.00
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675