1991, 01-16 Permit App: 91000089 Mechanical Fixtures •
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MECHANICALPERMIT APPLICATION FORM
information Worksheet
JOB STREET ADDRESS: East 13305 15th
CITY/STATE/ZIP: Spokane , WA 99216 PARCEL NUMBER:
OWNER: Ed Ross PHONE NUMBER: 509/924-7031
MAILING ADDRESS: Same as Above
(Street) (City/State) (Zip)
CONTRACTOR: Steinmetz Heating & A/C LICENSE NUMBER: STEINHA247KF
PHONE NUMBER: 509/922-2034
MAILING ADDRESS: 2206 North Pines Road Spokane WA 99216
(Street) (City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
DESCRIPTION OF UNITS UNIT = AMOUNT
DUCTWORK SYSTEM x$10.00 =
WOODSTO4E/INSERT x 25.00 =
GAS WATER HEATER x 10.00 =
HEATING EQUIPMENT <100,000 BTU 1 x 12.00 = 12 .00
HEATING EQUIPMENT +100,000 BTU x 15.00 =
GAS PIPING (EA OUTLET) 2 x 1.00 = 2 .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 <10, 000 CFM x 12.00 =
AIR HANDLER >10, 000 CFM x 15.00 =
SUBTOTAL $ 14. 00
PLUS: PROCESSING FEE + $ 25.00
EQUALS: TOTAL PERMIT
NOTE: MINIMUM PERMIT FEE IS $35.00 FEE DUE = $ 39 .00
SIGNATURE 541/4._ iLsQ4)
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 9260 (509) 456-3675
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MECHANICAL PERMIT APR FORM F L-
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•
Infor, aticn Worksheet
JOB STREET ADDRESS: East 13305 15rh
CITY/STATE/ZIP: Spokane, WA 99216 PARCEL NUMBER. t
OWNER: Ed Ross PHONE NUMBER: 9 4-7031
MAILING ADDRESS: Same as Above
(Street) (City/State) (Zip)
CONTRACTOR Steinmetz Heating & A/C LICENSE NUMBER: STEINHA247KF
PHONE NUMBER: 509/922-2034
MAILING ADDRESS: 2206 North Pines Road Spokane, WA 99216
(Street) (City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER I 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 1 x 12. 00 = 12 . 00
HEATING EQUIPMENT +100, 000 BTU x 15. 00 =
GAS PIPING (1 - 4 OUTLETS) 2- x 4. 00 = 3 .00 -
GAS PIPING (5 OR MORE. EACH: ) 12x 1. 00 = ---
REFRIG 1-100M BTU (NOT A/C OR HEAT PUMP) x 12. 00 = y=`�
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 $20.00 V1-3
%'/ 64)057 PLUS: PROCESSING FEE + $ 25. 00
/y
EQUALS: TOTAL PERMIT
NOTE: NI UM PERMIT FEELIS $35.00 FEE DUE = $45.00
SIGNATUREC� T , ,Aj , 7_ve9
Spok aCounty Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675