1992, 05-13 Permit App: 92003330 Water Heater, Piping a,3'.,31 ` - ,331 ,
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UN�y�w 35 p+� MECHANICAL PE: II 7 APPLICATION FORM
t 3 Information Worksheet 3�g f
JOB STREET ADDRESS: 10520 East 15th Avenue
CITY/STATE/ZIP: Spokane, WA 99206 PARCEL NUMBER:
OWNER: Dave Bank PHONE NUMBER: (509) 927-2238
MAILING ADDRESS: 10520 East 15th Avenue _Spokane, WA 99206
(Street) (City/State) (Zip)
CONTRACTOR: STEINMETZ HRATING & A/C LICENSE NUMBER: STEINHA147KF
PHONE NUMBER: ( 509) 922-2034
MAILING ADDRESS: 2114 North Pines Road . Suite 3 Spokane . WA 99206
(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 &F 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 <1O,000 CFM x 12.00 =
AIR HANDLER >10, 000 CFM x 15.00 =
SUBTOTAL $ 11 .00
PLUS: PROCESSING FEE + $ 25.00
EQUALS: TOTAL PERMIT
NOTE: MINIMUM PERMIT FEE IS $35.00 FEE DUE = $ 36 .00
SIGNATURE 'dti(O. CK #3881
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 9260 (509) 456-3675