1992, 09-14 Permit App: 92007590 Mechanical Fixtures MEC,,_,,ANlCAk. PERMIT APPLICATION Fr 'M I 5 c3o
• lnfor.-nation Worksheet rr C
JOB STREET ADDRESS: S . 3807 Woodward Rd.
CITY/STATE/ZIP: Spokane; WA 99206 - PARCEL NUMBER:
OWNER: Thoams Polsin PHONE NUMBER: 927-0703
MAILING ADDRESS:
(Street) (City/State) SUNL0I101JB (Zip)
CONTRACTOR: Inland Heating & Cooling LICENSE NUMBER: SUNLOI107J6
PHONE NUMBER:_ 455-4147
MAILING ADDRESS: 3655 Govt . Way Coeur d 'Alene, ID 83814
(Street) (City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER 1 X EACH
DESCRIPTION OF UNITS UNIT =AMOUNT
ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) x 10.00 -
WOODSTOVEJINSERT X 25.00 r -
GAS WATER HEATER 1 x 10.00 = 10 .00
G/1S, P�iAEM .00.00..q# (INCI4j..ES
x12. -
GAS EQUIPMENT+100.000 BTU DUCTWORK) 1 x 15.03 = 15 . 00
:::�. :. .. .,.... -x ri 2 x 1.00 2 On
BOILERIREFRIG 1-100M BTU x 12.00 -
.,,�.. s r;iiir x 20.00 =
,vCn 6.v M WA,<•.w" Aw.w4P:....,r nh4:ri..r..w4.n •...
BOILER/REFRIG 501-1.000M BTU x 25.00 =
M. n„ �. " '75t?M ETU =� �G:�'I 0001 �` `; x 35
BOILER/REFRIG+1.750M BTU x 60.00 =
.x �. x::f::.,....; r 6 x 12.00
�EA'f ~ON'Q t�NER`D-3, 'ONS -
wxrAAW�Ov�C��M�����e 1�hr4..Wwwlw+t5:.4iiF.w.vv.w::Rrhvvh,•hv..rr.::.:.::::: ... ......: '
HEAT_PUMP&AIR CONDITIONER_ _ 3-15 TONS x 20.00 =
t • t x25.00
1Q,4..: I #IJ' IONS
HEAT PUMP&AIR CONDITIONER 30-50 TONS x 35.00 _
NE^'r^Y+wyy�r� OMNDUT1ONER4SOTONSR ' x VN.NN
=
VENTILATING FANS
x 10.00 =
I�rHr N x 10.00
TYPE I HOOD(PER 12'OR 12' PTN.OF HOOD) x 50.00 -
, . x 1 x 10.00 -
CLOTHES DRYER x 10.00 -
RANGE• . .. _ x 10.00 -
GAS LOG x10.00 -
MISCELLANEOUS(NOT COVERED O.SEVINERE x 10.00 - ,
UNLISTED GAS APPLIANCE<400.000 BTU x 50.00 -
ULNSTED GAS APPLAAIM•.E>400.000 STU x100.00.1
USED APPLIANCE<400.000 BTU x 50.00 -
USED APPLIANCE>400.000 STU i x100.00-
AfA HANDER<10.000 CFM I I x 12.00 = t .
AIR HANDLER>10.000 CFU x 15.00 =
SUBTOTAL ' $ 27.00
PLUS: PROCESSING FEE +$ 25.00
NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS: TOTAL PERMIT 52 . 00
FEE DUE ='S
SIGNATURE 4---
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Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675