Loading...
1992, 10-15 Permit App: 92008967 Mechanical Fixtures MECHANICAL PERMIT APPLICATION FORM m 0-62)L6uCi �Information Workst?eet t 1 i� As- - " i�, JOB STREET ADDRESS: • D- '\ Q � V\\C .Q.\( \A 7 CITY/STATE/ZI , O PARCEL NUMBER: �. H 3 S- OWNER: \\`P Cc,`c'e?`e'C1� ((� PHONE NUMBER: "�-4?-1),211. 1`-10 MAILING ADDRESS: p,`M C, (Street) (City/State) S�` C_ (Z CONTRACTO':\i1 Y 1 0m� LICENSE NUMBER\\V ,'`'� * i )- „DA PHONE NU BER: ' •_ 0 _ MAILING ADDRESS: N 'C-N�� \O`S k ,' ,a (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER I X EACH I DESCRIPTION OF UNITS UNIT = AMOUNT ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) x 10.00 = W00DSTOVEIINSE T. .....<< »> <» ...... ... . ..... . :... ....:' x 25.00 = GAS WATER HEATER x 10.00 = GAS.EQUIPMENT<100,000 I TU(INCLUDES \ x 12.00 = l& • C GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 = GAS:PIPING (EA OUTLE'!7 .....:. >zz;;:::.... . a x 1.00 = ) - OC) BOILER/REFRIG 1-100M BTU x 12.00 = BOIL4PIIaEFRIGl0l-5O0M STOW >iuni:<:: x 20.00 = BOILER/REFRIG 501-1,000M BTU • x 25.00 = ............ . BQILERIRREFaIG 1,0001 1,750M BTU ' €< `::: ...... ::: x 35.00 = BOILER/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 HOOP x 10.00 = CLOTHES DRYER x 10.00 = R - ANGE. x 10.00 = GAS LOG x 10.00 = MISCELLANEOUS (NOT COVERED ELSEWHERE x 10.00 = UNLISTED GAS APPLIANCE<400,000 BTU x 50.00 = ULINSTED;GAS APPLIANCE>400000 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> 0,000 CFM x 15.00 = SUBTOTAL $ \4,63 PLUS: PROCESSING FEE + $ 25.00 NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS: TOTAL PERMIT ��\\�� FEE DUE _ $ � -W SIGNATUR ,'�^c C-� -� ..J�4'kA-Th Spokane County Division of Buildings • West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675