1990, 11-16 Permit App: 90006222 Gas Log, Piping MECIiIANICAL PERMIT APPLICATION 1-OH
InforTtation Worksheet
JOB STREET ADDRESS: E. J - '
CITY/STATE/ZIP:; PC kMlk
i )L4 �- �1 i.x
,S6 C PARCEL NUMBER:
OWNER: ,{)i9/2/ (1/7::::/.6046,4) PHONE NUMBER: '7 cZ -c-C"i 72
MAILING ADDRESS: c c..4."1/21 L
(Street)
(City/State) (Zip)
•
CONTRACTOR: Heat Transfer Inc . LICENSE NUMBER: HEATTI - 188LN
PHONE NUMBER: 328-3400
MAILING ADDRESS: N. 1008 Ruby . Spokane , Wa . 99202
(Street) • (City/State) (Zip)
MECIfANICAL WORKSHEET/FEE 'SCHEDULE
NUMBER X EACH
DESCRIPTION OF UNITS UNIT = AMOUNT
DUCTWORK SYSTEM x$10.00 =
WOODSTOVE/INSERT x 25. 00 =
GAS WATER HEATER / x 10.00 =
HEATING EQUIPMENT <100,000 BTU �/ x 12.00 = 1„.Z
HEATING EQUIPMENT +100,000 BTU x 15.00 =
GAS PIPING (1 - 4 OUTLETS) f x 4 .00 = g.
GAS PIVING (5 OR MORE. EACH: ) x 1. 00 =
REFRIG 1-100M BTU (NOT A/C OR HEAT PUE ) x 12.00 =
x 20. 00 =
REFRIG 101-500M BTU x 25. 00 =
REFRIG 501-1, 000M BTU 5. 00 =
REFRIG 1, 001-1,750M BTU x x 2365. 00 =
REFRIG +1,750M BTU 0 . 00 =
HEAT PUMP & AIR CONDITIONER 0-3 TONS _ x x 1122. 00
HEAT PUMP & AIR CONDITIONER 3-15 TONS _ x 25. 00 =
HEAT PUMP & AIR CONDITIONER 15-30 TONS _
HEAT PUMP & AIR CONDITIONER 30-50 TONS _ x x 35. 00 60. 00 =
=
HEAT PUMP & AIR CONDITIONER +50 TONS ._ _
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 x 10. 00 =
RANGE / x 10. 00 = /U
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 $ 3 C�
• PLUS: PROCESSING FEE + $ 25 . 00
EQUALS: TOTAL PERMIT - -
NOTE: INIMUM •E • ,! T FE S $ 00 FEE DUE = $
SIGNATURE r', - . . Amp i ,nollor
Spokane County Dep• men' of Building and Safety
est
1303 BroadwayAvenue Spokane, WA 99260 (509) 456-3675