1992, 08-11 Permit App: 92006289 Water Heater -- (c,D '
'��`���� ��J P�' ,3-- --)� APPLICATION FORM q
'
J MECHANICAL PERMIT ���
L), ) � \\ � ' 3 Information` Worksheet
JOB STREET ADDRESS: 10615 East 15th Avenue
CITY/STATE/ZIP: Spokane, WA 99206 PARCEL NUMBER:
OWNER: Jeff Riehl PHONE NUMBER: ( 509) 928-0363
MAILING ADDRESS: 10615 East 15th Avenue Spokane , WA 9920.6
(Street) (City/State) (Zip)
CONTRACTOR: Steinmetz Heating & 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)
limmummommommlimmimmommm
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 =1.-
. GAS
. GAS PIPING ,(EA .OUTLET) x 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 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 <16,000 CFM x 12.00 =
AIR HANDLER >10, 000 CFM x 15.00 =
SUBTOTAL $
PLUS: PROCESSING FEE + $ 25.00
EQUALS : TOTAL PERMIT^ �6
NOTE: MINIMUM FERMI FEE IS_ $35.00 FEE DUE _ $
OLD 1
SIGNATURE\JY2A/r) c )L VilkA_Lett.)
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 9260 (509) 456-3675