1993, 04-02 Permit App: 93002059 Mechanical FixturesJOB STREET
MAILING
MAILING
MECHANICAL PERMIT APPLICATION FORM
Information Worksheet
PARCEL
PHONE
(City/State)
X3-3
?-3,0-3
(zip)
MECHANICAL WORKSHEETIFEE SCHEDULE
DESCRIPTION
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
WOODSTOVE/INSERT
GAS WATER HEATER
GAS EQUIPMENT <100,000 BTU (INCLUDES
GAS EQUIPMENT+100,000 BTU DUCTWORK)
GAS PIPING (EA OUTLET)
BOILER/REFRIG 1-100M BTU
BOILER/REFRIG 101-500M BTU
BOILER/REFRIG 501-1.000M BTU
BOILER/REFRIG 1,0001-1,750M BTU
BOILER/REFRIG +1,750M BTU
HEAT PUMP & AIR CONDITIONER 0-3 TONS
HEAT PUMP & AIR CONDITIONER 3-15 TONS
HEAT PUMP & AIR CONDITIONER 15-30 TONS
HEAT PUMP & AIR CONDITIONER 30-50 TONS
HEAT PUMP & AIR CONDITIONER +50 TONS -
VENTILATING FANS
EVAPORATIVE COOLERS
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
TYPE It HOOD.-
CLOTHES DRYER
RANGE
GAS LOG
MISCELLANEOUS (NOT COVERED ELSEWHERE
UNLISTED GAS APPLIANCE <400,000 BTU
ULINSTED 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
NOTE: MINIMUM PERMIT FEE IS $35.00
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
x 10.00 =
x 25.00 =
x 10.00 -
x 12.00 =
x 15.00 .
x 1.00 .
x 12.00 .
It 20.00 -
x 25.00 =
x 35.00 -
x 60.00 =
x 12.00 -
x 20.00 .
x 25.00 .
x 35.00 -
x 60.00 -
x 10.00 =
x 10.00 =
x 50.00 -
x 10.00 =
x 10.00 =
x 10.00 -
x 10.00 =
x 10.00 =
x 50.00 =
X100.00 =
x 50.00 -
x100.00 =
x 12.00 =
x 15.00 =
"
\ \
_
_
SUBTOTAL
S;. LZ
PLUS: PROCESSING FE_E
+$ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
= $ 61 CQ
SIGNATURE- ���- PK ,
L Z 6.3
+ Spokane County Division of Buildings �kL-'