Loading...
1991, 02-27 Permit App: 91000761 Mechanical Fixtures MECHANICAL PERMIT APPLICATION FORM - ,- ' f Informatircn Worksheet JOB STREET ADDRESS: -5. 25W Zo.!):6/�1��. tc.J7I ��/ 1iQ 7' CITY/STATE/ZIP: 4&,2../4/(1,,c , Gjt /.6 PARCEL NUMBER: ,;22 y3 - n 7, 3 OWNER: jgrii4i.:E/ /72. 4 ' PHONE NUMBER: 77'2Y-' 9_3777 MAILING ADDRESS: i,ftWG./. '. &i') ji, i_Z, _,4-% e 4 (Street) (City/State) (Zip) CONTRACTOR:D/UG') 6/ e6/-1764-' LICENSE NUMBER: .&le/_)�G/13,6,C� PHONE NUMBER: MAILING ADDRESS: /1/, '7/5 /YJ/-7/)'14-/A/440/6t2,clE' ZaZ, 9 0,2-- (Street) (City/State) (Zip) MECHANICAL WURksHEEP/PEk; SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS UNIT = AMOUNT DUCTWORK SYSTEM x$10. 00 = WOODSTOVE/INSERT x 25. 00 = GAS WATER HEATER x 10.00 = /6-00 HEATING EQUIPMENT <100,000 BTU / x 12. 00 = /4,00 HEATING EQUIPMENT +100, 000 BTU x 15.00 = GAS PIPING (1 - 4 OUTLETS) A / x 4 . 00 = itgl •KOO GAS PIING (5 OR MORE. EACH: ) x 1. 00 = REFRIG 1-100M BTU (NOT A/C OR HEAT PUMP) x 12. 00 = REFRIG 101-500M BTU x 20. 00 = 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 TONS _ x 25. 00 = HEAT PUMP & AIR CONDITIONER 30-50 TONS _ x 35. 00 = HEAT PUMP & AIR CONDITIONER +50 TONS x 60. 00 = VENTILATING FANS - - EVAPORATIVE COO RS 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 $ ,?6,.00 PLUS: PROCESSING FEE + : ;520 EQUALS: TOTAL PERMIT=NOTE: IN UMRMIT FEE IS $35.00 FEE DUE _ SIGNATUREJ7't'4E!/4 1 Spokane County Department of Building and Safety West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 __