1992, 09-14 Permit App: 92007589 Mechanical Fixtures MEC,' AICAL PERMIT APPLICATION FOT-'1 9 2 - 7 7
information Worksheet
JOB STREET ADDRESS: 3808 Woodward / 3/5 7
CITY/STATE/ZIP: Spokane . WA 99206 PARCEL NUMBER:
OWNER: Frank Antonovic'h PHONE NUMBER: 924 7555
MAILING ADDRESS:
(Street) (City/State) S U N L O I 10 7 J 6 (Zip)
CONTRACTOR: Inland Heating & Cooling LICENSENUMBER:SUNLOIHO1JB
PHONE NUMBER:_ 455-4147
MAILING ADDRESS: 3655 Govt . Way Coeur d 'Alene , ID 83814
(Street) (City/State) (ZP)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER 1 X EACH
DESCRIPTION OF UNITS UNIT =AMOUNT
ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) _ x 10.00 -
...•.
WOODSTOVE/INSERT •.... .
:,.. x 2 .00 =
r.
GAS WATER HEATER 1 x 10.00 = 10 . 00
04.00:1040"090.0.00:. �BTU:(INCL`UDES- • X 12. _
GAS EQUIPMENT+100.00 BTU DUCTWORK) 1 x 15.03 = 15 . 00
::: . ......... 2 x 1.00 = 2 nn
�BOILER/REFRIG 1-100M BTU x 12.00 =
OV n f www Lsaf ...w..• ` •:�<•:a ri.N{liflii:" ..';'k.: x 20.00 =
BOILER/REFRIG 501-1.000M BTU x 25.00 =
,.,,�. �¢.��.::.:.:..: b�:>.,;>.:� ;, x 35.00 =
BQQ,W1F.A.. G,O001:,;,A;`'1511M ETI: .::::>.....
BOILER/REFRIG+1.750M BTU x 60.00 = ,
,.;,..•:.,,...., v M,. x 12.00 =
HEAT PUMP&AIR CONDITIONER 3-15 TONS x 20.00 =
A x 25.00 =
HEAT PUMP&AIR CONDITIONER 30-50 TONS x 35.00 =
.vim �. ,<� �_:.r�-..� x 60.00 -
HEAM � �CON,bf7.O tf g. 0 OlVS
.<.:..,..a �::.
VENTILATING FANS x 10.00 =
�a��,. x 10.00 =
a � L -;:;3< : < ; x 50.00 =
TYPE I HOOD(PER 1r OR 12' PTR.OF HOOD)
ttiotipwri „<,::�:: x 10.00 -
CLOTHES DRYER _ ^ x 10.00 =
RANGE x 10.00 -
GAS LOG x10.00 =
MISCELLANEOUS(NOT COVERED ELSEWHERE x 10.00 =
UNLISTED GAS APPLIANCE<400A00 STU x 50.00 =
MASTED GAS APPUANCE>400.000 STU x100.00=
USED APPLJANCE<400.000 BTU x 50.00 =
USED APPLIANCE> ,000 STU 1 x100.00=
AIR HANDLER<10.000 CFm I 1 x 12.00 = I ,
. AIR HANDLER>10.000 CFU x 15.00 =
SUBTOTAL $ 27 0n
PLUS: PROCESSING FEE +$ 25.00
NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS: TOTAL PERMIT 52 . 00
FEE DUE =S
SIGNATURE d----
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675