Loading...
1992, 11-18 Permit App: 92010181 Water Heater, Piping MECHANICAL PERMIF APPLICATION FORM 1- - 10 0 1 I��tion Worksheet ---1 �� JOB STREET ADDR CO � SS: , ot CITY/STATE/ZIP: Y i I /Irk w 1 - 1 gO3`7 PARCEL NUMBER: 9 OWNER: L }tiv � Jl /JA7 pA ) PHONE NUMBER: MAILING ADDRESS: r (Street) (City/State) (Zip) CONTRACTOR: C ►"� ICO Ci A tZ.DEA/ i,1 f t-s2 LICENSE NUMBER: r41C.0 CSC I"73 b to PHONE NUMBER: (5081 (3.2(a-g9// MAILING ADDRESS: E • q 3) D 5.P I?A3LC e_ sp--`,k;,4,i Lk}A 99 2 0 e (Street) (City/State) (Zp) ._ MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS UNIT =AMOUNT ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) x 10.00 = .:nL-r :.}+-.y:::r:r � .-:::::::::{�y��(r::: . .?i::Ti i�:i::4i:�i='-i>:i'-i+::i=i:::i :"+f.•:Lti-:Y:2{i{i{- :ii`n�>itL-ik}i'� 00 STO E!I 4ER� _ r::•:::_::.:;-:;-:.;;:-::;.:«>: x 25.00 n.....v...... vv..._....:-YfviiOSw.�.....................::.r}::til ...+n..nnxvnsvx».xnnv.n.mn...vv........ ..:A:•::. v:::.v::::::: vv GAS WATER HEATER x 10.00 = ..Z M ::.4 :r. _ SAE EQU P....I '......�D . t I '� NC(: tS =>>: ?;' = x 12.00 - GAS EQUIPMENT+100,000 BTU DUCTWORK) - x 15.00 = - -..,..,.,..�y:>�....,r n::-..-.syr:::m•.,Y,>Y;�:«+a:-tyt.Ynr:�..a.. - :::- .. . ': . ,.zSF CA •P1 131 "EA:-71T . ;}.jr ; fi M.-::::ry I - . x 1.00 jt y . , « = v\vwiuh::mv+ w'J.FY. .. .v:J:M]O`CwaFiWiS �ivYvCtWv�•iW .\t ivn �'vOv:G} !4.v. � T�'�� - iw u . BOILERIREER 1-100M BTU . - 4 , - - x 12.00 _. .. s:. :7;:,,:44:c7:",: 1,,:.$ fr• { i�+:Y3-{;.m::^^Y.: NY „u�:�*��ii:yr�� - '� _� psi-�ff"1 ari_ - r ,nvn�mv � . ' O g- < � < x~ -. . . .. - X 20.00 s.SivJ vvv muv. _.v..n._:.vv r IXv n: A BOILER/REFRIG 501-1,000M BTU x 25.00 . FO ' C3 ;-:".'f ' 1111 I oaf' ""� ' X 35.00 Z . .4. 1:".;:i.7'.:4',:-:;:g-,;U:4: ::. BOILER/REFRIG+1,750M BTU ,. x 60.00' : : - ' MPS RyCOND pNE "�; -.x12.00-- , ...._tix - # .�, � .-:::>n„.T-.,,,.. rm- ..,,_.....r::. •' .,. m - c '•�o� _: :. .. a _ .. .es'�+. HEAT`PUMP'&AIR CONDITIONER 3-15 TONS -- .• -,t x 20.00-....-.A':'-::. " . rte.7 y A `I"F'ak :e leT Owns tIEilf h•1<;>71•,.�h - I x 25.004.-: t:.: sr,-. �"�' HEAT PUMP&AIR CONDITIONER 30-50 TONS- x 35.00 ' .. , �,,.. ..y: «..,,{ f.:.:-n...•.::::..yy. °` is i'�;f'a'�° .',:::',''.,.:`:',:',',",,, m4,:;,,,,- VENTILATING rry � , ' p tiff �R CUND T �' f, ._- -:�..�: kWr.�.r... :�'vr, ..:n, �t�� :������..,�J.�r . X60.00 �j VENTILATING FANS -_ ,--• x 10.00 - :£ A:07.6. LCYS ti : " I x 10.00 = .---4B.'-'41.- , 4 r. r-,:•n,wc.w.. ..na.»:Y'.::.awca..:..r}.�,.rn•.vm...Q.,asr.4.r2. "d��c4;w? xck.•:»J JkKv.: TYPE!HOOD(PER 12' OR 12' PTN.OF HOOD) = - - x 50.00 - .7:7, 4:,'t;': TY$Esy♦;:r..y:n,..nY,9;:;;:>:,yt:,;..>:Y.y?r:s'"S".,.:-;f_-;;x;�a?�^._: X3':tvs;.:.xtac.�-.Y'lk??:.'.::> f OOQ fr<;-<.:.>.•�>;: f: X 10. _ CLOTHES.DRYER - _ .:. -,. ';,, X 10.00 = _. . , - }ii�' :RAN =E -� <::<; x 10.00 GAS LOG 1MISx 10.00 = 10, co GE ANEO OTCOVERED`ELSEWHERE ' x 10.00 = UNUSTED GAS APPLIANCE<400,000 BTU x 50.00 = 4 s;- I _ UL NSTED GAS AP ..... , ..-...... PLIANCE>400 000 BTU:::_ x100.00- USED APPLIANCE<400,000 BTU x 50.00 = `USED`A►PPLIANCE.�4D0$ 00 : '• - x100.00= AIR HANDLER<10,000 CFM x 12.00 = AI = ��HAND > _ L ��` R;: ::::: ;� ,, ...�C_::: . ........:::.:::.:::.;>:::vr .__..... ....... x 15.00 v"s SUBTOTAL $ 11.00 . PLUS: PROCESSING FEE +$ 25.00 NOTE MINIMUM PERMIT FEE IS$35.00 EQUALS:TOTAL PERMIT FEE DUE =$ s3L•D0 I SIGNATURE Spokane County Division of Buildings