Loading...
1990, 06-14 Permit App: 90002743 Piping 'I • MECHANICAL PERMIT APPLICATION FORM Information Worksheet JOB STREET ADDRESS: F. /2'/J7 13.i-%. CITY/STATE/ZIP: Kola. 41)4 , PARCEL NUMBER: OWNER: ,Jyrr /aim c1 /ek PHONE NUMBER:() 9a"1/ 47/39 (uv) .53$'o MAILING ADDRESS: , /be, ,Z ,2 /37W• _ (Street) (City/State) (Zip) CONTRACTOR:A/a £ ty /17 dd. LICENSE NUMBER: /?/,eeX/.,//p y PHONE NUMBER: 9d,7‘,/ 60/.31 MAI LING ADDRESS: A/ SeZ/ //y .57 Qo,eitne L{4 . 990.2/c2. (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 x 10. 00 = HEATING EQUIPMENT <100, 000 BTU x 12. 00 = HEATING EQUIPMENT +100, 000 BTU x 15. 00 = GAS PIPING (EA OUTLET) / x 1. 00 = 140 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 x 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 $ /.e o PLUS: PROCESSING FEE + $ 25. 00 EQUALS : TOTAL PERMIT NOTE: v . .-#• P,/ IT FEE IS $35.00 FEE DUE = $ - ..C.DU SIGNATU' 4r1 Spokane County Department of Building_ and Safety West 1303 Broadway Avenue Spokane, WA 9260 (509) 456-3675