1990, 12-19 Pemrit App: 90006867 Furnace, PipingMECHANICAL PERMI(APPLICATION FORM
- .Information Worksheet
JOB STREET ADDRESS: S, 39/rS ,4jarx• ruCC Et.
CITY/STATE/ZIP: pr)kOne {OA •999020(0 PARCEL NUMBER:
OWNER: -Toe TR(1 d iurafi. A PHONE NUMBER: 9a'a-'-3aInp
MAILING ADDRESS:
CONTRACTOR:
(Street)
R 1 I i P ry l-1 ea: -E( L'nr
MAILING ADDRESS: (T . 9 --
(Street)
(City/State) (Zip)
LICENSE NUMBER: ( (r.L1 e l 4' a00t4
PHONE NUMBER: cpag `S‘a S a
Jcij e, wA- 9c arxo
(City/State) (Zip)
MECHANICAL WORKSHEET/.FEE SCHEDULE
NUMBER, X' EACH
DESCRIPTION OF UNITS , ttNIT
•X$10.00 =
x 25,x00
x 10.00
x 12.00
x 15..00`
x 1%00
x 12.00
x 20.00
x 25.00
X 35.00
x 60.00
x 72.00
x 20:00
x 25.00
x 35:00
x 60.00
x 10.00
x 10.00
x s0;oo
x 10.00
x ,10.10.00
x' 0'0
x 10.00
x 10.00
x 50.00
x100.00
x 50.00
x100.00
x 12.00
x 15.00
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER
HEATING EQUIPMENT <100,000
HEATING EQUIPMENT",+100,000
GAS PIPING (EA OUTLET)
REFRIG 1-100M BTU (NOT A/C
REFRIG 101-500M BTU
REFRIG 501-1,000M BTU
REFRIG 1,001-1,750M BTU
REFRIG +1,750M BTU
HEAT PUMP & AIR CONDITIONER
HEAT PUMP & AIR CONDITIONER
HEAT PUMP &-AIR CONDITIONER
HEAT.PUMP & AIR CONDITIONER
HEAT PUMP & AIR CONDITIONER
VENTILATING FANS
EVAPORATIVE COOLERS
BTU _
BTU
OR HEAT PUMP)
0-3 TONS
3-15 TONS
15-30 TONS
30-50 TONS
+50 TONS
TYPE I HOOD (PER 12' OR'12'
TYPE II HOOD
CLOTHES DRYER
RANGE
GAS LOG
PTN. OF HOOD)
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
1
1
= AMOUNT
boo
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE t fc e ? &cttt z_..c
SUBTOTAL
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675