HomeMy WebLinkAbout1992, 06-04 Permit App: 92004020 Mechanical FixturesMECHANICAL PERMIT APPLFCATION FORM
Information Worksheet
JOB STREET ADDRESS: (p 13 AJ l.(J, l/�
CITY/STATE/ZIP: S/Donke .e 99 ZD 6 PARCEL NUMBER:
OWNER: pea/Nr5 /6G ie.r_So.-' PHONE NUMBER:
MAILING ADDRESS: Sar P
" (Street)z.,(City/State) (Zip)
CONTRACTOR: /9"/ 44S Sev-ira+-a parr LICENSE NUMBER: /Q(5,9.iSA:706)/2k
PHONE NUMBER:
MAILING ADDRESS: S'// /1) & yr ".0' sAs
(Street) (City/State)
MECHANICAL WORKSHEET/FEE SCHEDULE
DESCRIPTION
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
..„;..: o..��,i//y �-"<%s�+;'2Mc >r,. «,ra _......_.. ._.
ra ...a Lt�.or^ '2.
�tiR,>3��w.l,�:iY' ( � �eaOL:..$?:.S:w.2.�.3
GAS WATER HEATER
GAS EQUIPMENT+100,000 BTU DUCTWORK)
::154,1111411
BOILER/REFRIG 1-100M BTU
BOILER/REFRIG 501-1,000M BTU
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BOILER/REFRIG +1,750M BTU
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HEAT PUMP & AIR CONDITIONER 3-15 TONS
HEAT PUMP & AIR CONDITIONER 30-50 TONS
INTOTATISS
VENTILATING FANS
tat
9V
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
CLOTHES DRYER
GAS LOG
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UNLISTED GAS APPLIANCE <400,000 BTU
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USED APPLIANCE <400,000 BTU
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AIR HANDLER <10,000 CFM
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NOTE: MINIMUM PERMIT FEE IS $35.00
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NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
x 10.00 =
x 25.00 =
x10.00 =
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 =
x10.00 =
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 =
/
/Oi 40
/
/2 . u -o
z . oe
SUBTOTAL
$ 2 y
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
re
_$ re
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675