1992, 08-18 Permit App: 92006526 Mechanical Fixtures " `Wd U«tom Aga Y��
MECHANICAL PERMIT APPLICATION FORM J
�I/nformation Worksheet
JOB STREET ADDRESS: �CZG -tit�- , /- o� / G,(/i2% 41.) ' .
CITY/STATE/ZIP: ,.„.!..!:.61!. ' 6)A 99OO6PARCEL NUMBER: 2/41 fr/ e 7
OWNER: , '/: of , - PHONE NUMBER: 90117/ - 97.5 �_-
MAILING ADDRESS: .._.
(Strut) - (City/State) (Zip)
CONTRACTOR: A&U QUALITY HEATING LICENSE NUMBER: Amnjuinuovai
E.i frioNDIANKAVE. PHONE NUMBER: 928-220d
SPOKANE;WA 99216
MAILING ADDRESS:
(Street) (City/State) (Zip)
IIIIIINIIIIIIIIIIIMIIIIIIIIMIIOIIIIINIIIMIOIIIIIIIMIOIMIMIIIINMIIIIIIIIIIIIIMIMIIMIWIIMIUIIIIIMMIIIIIIIIIIIIMINOMMMMIIIIMIIIIIIIIIIIIIIIINNIIIII
(MECHANICAL WORKSHEET/PEE SCHEDULE
DESCRIPTION OP Ii ! S x[iltiu • AMOUNT
DUCTWORK SYSTEM •x410.00 -
WOODSTOVE/INSERT X 25.00 -
GAS WATER HEATER %. X 10..00 a /V.D(f
HEATING EQUIPMENT <100,000 BTU X 12.00• - /d ROD
HEATING EQUIPMENT +100,000 BTU x 15.00 -
GAS PIPING (EA OUTLET) P X 1.00 - ".2 ,g20
REFRIG 1-100K BTU (NOT A/C OR HEAT PUMP) X 12.00.6
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 _ 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 -
EVAPORATIVE COOLERS x 10.00 -
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) X 50.00 -
TYPE II HOOD x 10.00 -
CLOTHES DRYER x 10.00 -
RANGE x 10.00 -
GAS LOG x 10.00 -
MISCELLANEOUS (NOT COVERED ELSEWHERE)_ _ x 10.00 -
UNLISTED GAS APPLIANCE <400,000 BTU_ _ _ x 50.00 - .,
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 $ 02'/. 0 U
PLUS: PROCESSING FEE + $ 25.00
^
EQUALS: TOTAL PERMIT1 Q
NOTE: MI MUM P-RMIT4 FEE IS $35.00 FEE DUE a /
$ T 1, 00
k - 'r /
SIGNATURE_____ =�A
Spokane County Department of Building 260 Safety 09) 456-3675
West 1303 Broadway Avenue Spokane. e