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