1989, 11-27 Permit App: 89004917 Furnace, PipingMECHANICAL PERMIT AWPLTCATI(TN PURIM
Information Worksheet
JOB STREET ADDRESS: ,23. 3 6 0 C'
CITY/STATE/ZIP:
OWNER:
2 0 4)a • 9 9 20 6 .PARCEL NUMBER:
PHONE NUMBER:
MAILING ADDRESS:
(Street) (City/State) (Zip)
CONTRACTOR: Heat transfer Inc. LICENSE NUMBER: HEATTI-188LN
PHONE NUMBER: 328-3400
MAILING ADDRESS: N. 1008 Ruby Spokane, Wa. 99202
(Street) (City/State) (Zip)
MECHANICAL WORKSHEET/FEE •SCHEDULE
NUMBER
DESCRIPTION OF UNITS
DUCTWORK SYSTEM_
w000STOVE/INSERT
GAS WATER HEATER
HEATING EQUIPMENT <100,000 BTU
HEATING EQUIPMENT +100,000 BTU
GAS PIPING (1 - 4 OUTLETS)
GAS PIVING (5 OR MORE. EACH:)
REFRIG 1-100M BTU (NOT A/C OR HEAT PUMP)
REFRIG 101-500M BTU
REFRIG 501-1,000M BTU
REFRIG 1,001-1,750M BTU
REFRIG +1,750M BTU
HEAT PUMP & AIR CONDITIONER 0-3 TONS
HEAT PUMP & AIR CONDITIONER 3-15 TONS
HEAT PUMP & AIR CONDITIONER 15-30 TONS
HEAT PUMP & AIR CONDITIONER 30-50 TONS
HEAT PUMP & AIR CONDITIONER +50 TONS
-
VENTILATING FANS
EVAPORATIVE COOLERS
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
TYPE II HOOD
CLOTHES DRYER
RANGE •
GAS LOG
MISCELLANEOUS (NOT COVERED ELSEWHERE)
UNLISTED GAS APPLIANCE <400,000 BTU
UNLISTED GAS APPLIANCE >400,000 BTU
USED APPLIANCE <400,000 BTU
USED APPLIANCE >400,000 BTU
AIR HANDLER <10,000 CFM
AIR HANDLER >10,000 CFM
X EACH
UNIT
x$10.00
x 25.00
x 10.00
x 12.00
x 15.00
x 4.00
X 1.00
x 12..00
x 20.00
x 25.00
x 35.00
x 60.00
x 12.00
x 20.00
x 25.00
x 35.00
x 60.00
x 10.00
x 10.00
x 50.00
x 10.00
x 10.00
x 10.00
x 10.00
x 10.00
x 50.00
x100.00
x 50.00
x100.00
x 12.00
x 15.00
= AMOUNT
/a =
o
NOTE: yy�IN'IMU��M PERMIT FEE IS $35.00
SIGNATURE Or.-44.k'GC.4:
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
SUBTOTAL
$ /6..0
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE