1993, 03-25 Permit App: 93001825 Mechanical Fixtures ) fX
MECHANICAL PERMIT APPLICATION FORM �1\\I\
Information Worksheet
JOB STREET ADDRESS: SOUTH 4524 WOODRUFF /
CITY/STATE/ZIP: SPOKANE WA 99206 PARCEL NUMBER: 1-11405-(4 ' v Y-3
OWNER: BRUCE & SUSAN GOODELL PHONE NUMBER: 927-1797
MAILING ADDRESS: SAME __SAME
(Street) (City/State) (Zip)
CONTRACTOR: AAM QUALITY HEATING LICENSE NUMBER: Aon 191H1
iffriffNDIANAAVE. PHONE NUMBER: 928-2100
SPS; WA 99216
MAILING ADDRESS:
(Street) (City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMDESCRIPTION O NITS xUNITK • AMOUNT
DUCTWORK SYSTEM •x$10.00 -
WOODSTOVE/INSERT x 25.00 -
GAS WATER HEATER • f • X 10.00 • /a 02
HEATING EQUIPMENT <100,000 BTU _ _ _ I x 12.00. • /, , co
HEATING EQUIPMENT +100,000 BTU _ X 15.00 -
GAS PIPING , (EA OUTLET) ( x 1.00. • (-0. 60
REFRIG 1-100M BTU (NOT A/C OR HEAT PUMP) X 12.00, •
REFRIG 101-500M BTU x 20.00 !o
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 TONSX 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 $ c 9: `e)
PLUS: PROCESSING FEE + $ 25.00
EQUALS: TOTAL PERMIT �1, CO
NOTE: MINI UM PE' IT F E IS $35.00 FEE DUE = $ '
SIGNATURE____ IA '..4.2 �
PONoti lt7i & �3 5- Mii
s
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 9260 (509) 456-3675