Loading...
1993, 05-19 Permit App: 93003727 Mechanical Fixtures q3 - 377 MECHANICAL PERMIT APPLICATION FORM / 333 / Information Worksheet JOB STREET ADDRESS: 12125 E . 12th CITY/STATE/ZIP: Spokane , WA 99206 PARCEL NUMBER: OWNER: Ralph Aaseby PHONE NUMBER: 924-7241 MAILING ADDRESS: _ (Street) (City/State) (Zip) CONTRACTOR: Allied Heating , Inc . LICENSE NUMBER: ALLIEI*200D4 PHONE NUMBER: 928-8252 MAILING ADDRESS: 9309 E . Trent. SpnkanP WA RR2fA (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS UNIT = AMOUNT DUCTWORK SYSTEM x$10. 00 = WOODSTOVE/INSERT x 25. 00 = GAS WATER HEATER 1 x 10. 00 = 10 . 00 HEATING EQUIPMENT <100, 000 BTU x 12 . 00 = HEATING EQUIPMENT +100, 000 BTU x 15. 00 = GAS PIPING (EA OUTLET) 1 x 1. 00 = 1 . 00 REFRIG 1-100M BTU (NOT A/C OR HEAT PUMP) x 12 . 00 = REFRIG 101-500M BTU x 20. 00 = REFRIG 501-1, 000M BTU x 25. 00 = REFRIG 1, 001-1, 750M BTU x 35. 00 = REFRIG +1,750M BTU x 60 . 00 = HEAT PUMP & AIR CONDITIONER 0-3 TONS _ _ x 12 . 00 = HEAT PUMP & AIR CONDITIONER 3-15 TONS _ x 20. 00 = HEAT PUMP & AIR CONDITIONER 15-30 TONS _ x 25. 00 = HEAT PUMP & AIR CONDITIONER 30-50 TONS _ _ x 35. 00 = HEAT PUMP & AIR CONDITIONER +50 TONS _ _ x 60. 00 = VENTILATING FANS x 10. 00 = EVAPORATIVE COOLERS x 10. 00 = TYPE I HOOD (PER 12 ' OR 12 ' PTN. OF HOOD) x 50 . 00 = TYPE II HOOD x 10. 00 = CLOTHES DRYER ix 10. 00 = RANGE x 10. 00 = GAS LOG x 10. 00 = MISCELLANEOUS (NOT COVERED ELSEWHERE) _ x 10. 00 = UNLISTED GAS APPLIANCE <400, 000 BTU_ _ _ x 50. 00 = UNLISTED GAS APPLIANCE >400, 000 BTU _ _ x100 . 00 = USED APPLIANCE <400, 000 BTU x 50. 00 = USED APPLIANCE >400, 000 BTU x100. 00 = AIR HANDLER <10, 000 CFM x 12 . 00 = AIR HANDLER >10, 000 CFM x 15. 00 = SUBTOTAL $ 11 . 00 PLUS: PROCESSING FEE + $ 25 . 00 EQUALS : TOTAL PERMITf NOTE: MINIMUM PERMIT FEE IS $35. 00 FEE DUE _ $ 36 . 00 SIGNATURE 4. Spokane County Department of Building and Safety West 1303 Broadway Avenue Spokane, WA 9260 (509) 456-3675