1993, 01-05 Permit App: 93000019 Mechanical Fixtures3502144,,0-1°C L41
Pv 6-7
JOB STREET ADDRESS:
CITY/STATE/ZIP://
OWNER: (.ea
MECHANICAL PrRMi?
Information
A2 9
APPLICATION FORM
Wprksheet
93-bi
c8(9
SPo A,✓L Wh PARCEL NUMBER:
M
KAneAri-
MAILING ADDRESS:
CONTRACTOR:
E. 7102 96`'
(Street)n
SNA-PP7 Pi.vmsonI
MAILING ADDRESS:
nC� AJ
PHONE NUMBER: 4'3-o9✓W70 1
,S -Po GCkvt
(City/State)
9®Z
3z4-4 50
(Zip)
LICENSE NUMBER: SeJ4PP9c/o4c-3
PHONE NUMBER: }67-i42•1
SQo I✓ AA 9 9201
N 751c /a
(Street)
(City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER 1 X EACH
OF UNITS UNIT
DESCRIPTION
= AMOUNT
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER
HEATING EQUIPMENT <100,000 BTU
HEATING EQUIPMENT +100,000 BTU
GAS PIPING (1 - 4 OUTLETS)
GAS PIPING (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
HEAT PUMP & AIR CONDITIONER
HEAT PUMP & AIR CONDITIONER
HEAT PUMP & AIR CONDITIONER
HEAT PUMP & AIR CONDITIONER
VENTILATING FANS
0-3 TONS
3-15 TONS
15-30 TONS
30-50 TONS
+50 TONS
EVAPORATIVE COOLERS
TYPE I HOOD (PER 12' OR 12
TYPE II HOOD
CLOTHES DRYER
RANGE
PTN. OF HOOD)
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
1
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
13,os
NOTE: MINIMUS PE IT FEE IS $35.00
SIGNATURE
SUBTOTAL
$ 3
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
Spokanb County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675