1990, 12-11 Permit App: 90006721 Furnace MnttAiA1V l;Al NtNNll l Al ?LltAHUt manila 1,6 d 0gLa..2.01q
4
Infor'mdtion' Wor,isheet
6,5
JOB STREET ADDRESS: (g-96 -- � � :--
CITY/STATE/ZIP: - PARCEL NUMBER: 5, - �d
OWNER: PHONE NUMBER: ct "Z--Q$ `-E( 2�
MAILING ADDRESS:
{ (Street) , (City/State) (Zip)
CONTRACTOR: C d- --c LICENSE NUMBER: 1 -rz- -/ / 0 13Z__
PHONE
NN rUMBER: °i,ZL..---WS
MAILING ADDRESS: R 8.6-Lx4 1 ct- fg,
,, (Street) (City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
BDESCRIPTION OFFUUNNITI
S XUNAITHCH = AMOUNT I
t
DUCTWORK SYSTEM x$10.00 =
WOODSTOVE/INSERT x 25.00 =
GAS WATER HEATER x 10.00 =
HEATING EQUIPMENT <100,000 BTU I x 12.00 = 1 -1.-"L-
HEATING EQUIPMENT +100,000 BTU x 15.00 =
GAS PIPING (1 - 4 OUTLETS) x 4.00 =
GAS PIPING (5 OR MORE. EACH: ) 1.00 =
REFRIG 1-100M BTU (NOT A/C OR HEAT PUMP) x 2.00 =
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 x 10.00 =
EVAPORATIVE COOLERS 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 =
A SUBTOTAL $ l Z4u
9 , ,,/ �� PLUS PROCESSING FEE + $ 25.00
4
EQUALS: TOTAL PERMIT^ ,
p.
NOTE: ' I PE • IT FEE
lot--
FEE DUE = $ 3'l `� ) 1
SIGNATURE 1t__ �i<<,'r.-- _om �r� _..__....,.
Spokane Co ty Department of Building and Safety'
West 1303 Broadway Avenue Spokane, WA 99260 (5009) 456-3675