1993, 02-08 Permit App: 93000694 Mechanical FixturesJOB STREET
7�
MECHANICAL PERMIT APPLICATION FORM
1Infoi^ation Worksheet /04D1-11
(Street)
PARCEL NUM
PHONE NUME
CONTRACTOR: Ra nnr Fu -ac- 6 Mmi - IIns110ENSE NUMBER: 13 EFF378NT
CONTACT! RUSS LUNDF. PHONE NUMBER: 535-1711
MAILING ADDRESS: P.O. Box 4346 Spokane, WA. 99202
(Street) (City/Slate) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
DESCRIPTION
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
W66DST6VEIIN8ERT,.
GAS WATER HEATER
GAS EQUIPMENT 4100,000 BTU DUCTWORK)
GAS PIPING (EA OUTLET)
HEAT PUMP & AIR CONDITIONER 6=3 TONS
HEAT PUMP & AIR CONDITIONER 3-15 TONS
HEAT PUMP &'AIR CONDITIONER I5=30'.TONS
HEAT PUMP & AIR CONDITIONER 30-50 TONS
HEAT PUMP & AIR CONDITIONER X50 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,bOVEREb ELSEWHERE
UNLISTED GAS APPLIANCE <400,000 RTU
ULINSTED GAS APPLIANCE :>400,OOd BTU
USED APPLIANCE <400,000 BTU
USED APPLIANCE >400.60d BTU
AIR HANDLER <10,000 CFM
AIR HANDLER>1Q000 CFM"
NOTE: MINIMUM PERMIT FEE IS $35.00
NUMBER
OF UNITS
XEACH
UNIT
-AMOUNT
x 10.00 =
x 25.00 =
x 10.00 =
x 12.00 =
x 15.00 =
x 1.00 =
x 12.00 =
x 20.00 =
x 25.00 =
x 35.00 =
k 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 =
000.00 =
x 12.00 =
x 15.00 =
SUBTOTAL
S.
PLUS: PROCESSING FEE
E 25.00
EQUALS: TOTAL PERMIT
FEE DUE
=5 3 .Qp
SIGNATURcet ...SLCiaApj1.�+�e rr
"' Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675