Loading...
1992, 11-23 Permit App: 92010308 Mechanical FixturesMECHANICAL P�P.1diT APPLICATION FORM c,:)-10" Information Worksheet 159 (!9b JOB STREET ADDRESS: 11518 E 10th CITy/STATE/ZIP: Spokane, WA 99206 PARCELNUMBER:_ OWNER: Clinton Hammond PHONE NUMBER: 921-5941 MAILING ADDRESS: (Street) (City/State) SUNIAI107J6 (zip) CONTRACTOR: Inland Healing S Cooling LICENSE NUMBER: SUNL01101JB PHONE NUMBER:_ 455-4147 MAILING ADDRESS: 3655 Govt Way 412 Coeur d'Alene ID 83814 (Street) (City/state) (Zip) MECHANICAL OF ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) WOODSTOVEIINSERT GAS WATER HEATER GAS EQUIPMENT <100,060 BTU (INCLUDES - GAS EQUIPMENT+100,000 BTU DUCTWORK) GASPIPING(EA OUTLET), BOILER/REFRIG 1-100M BTU SOILERIREFRIG-101-500M BTU - BOILER/REFRIG 501-1,000M BTU BOILER/REFRIG 1,0001-1,750M BTU BOILER/REFRIG+1,750M BTU HEAT PU(vIF;$, A@,bONDITIONER 0-3 TONS` HEAT PUMP & AIR CONDITIONER 3-15 TONS HEATCJP, > „1,f, ONDITIONER 15-30. TONS HEAT PUMP & AIR CONDITIONER 30-50 TONS HEAT�1`_([�P`� .CONDITIONER+50 TONS VENTILATING FANS EVA ,ORA711YECQOLERS TYPE I HOOD (PER 12' OR 12' PIN. OF HOOD) TYPE 11}i<)0 h ......, CLOTHES DRYER RANGE' GAS LOG MISCELLANEOUS (NOT COVERED E7.SEWHERE UNLISTED GAS APPlJ11NCE <4WAW !TU ULNSTED GM APPLIMCE>4WA00 WV USED APPLIANCE <GNAW HTU USEDAPPLWCEI, A YTU AIR HANDLER <10.OW CFM AIR HANDLER>10,000 CFM NOTE: MINIMUM PERMIT FEE IS 135.00 SIGNATURE x 25.00 = x 10.00 = x 12.00 - x 15.03 - 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 - Y 10.00 - x 10.00 - x 10.00 - x 50.00 - x100.00 - x 50.00 - X100.00 - x 12.00 - x 15.00 - FEE DUE =S Spokane County Division of Buildings G-. HIA,a.. n.,., .. Cnn4ano WA QQ9Rn 150Q145B-3675 49.00