Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
1992, 10-19 Permit App: 92009053 Mechanical Fixtures
32Cot . lluy MECHANICAL PERMIT APPLICATION FORM - Information Worksheet ( � ( 1 JOB STREET ADDRESS : 0111/4---I ) 6`41-=1- `1 CITY/STATE/ZIP: fl (_ufl qq4 .PARCEL NUMBER: OWNER: p 14 f<i ( ( Cn PHONE NUMBER: 53 s_a ( MAILING ADDRESS:6(IQ 8 . 11,04 -- Yk t. ( On QQ 0-I D (Street) (City/State) (Zip) CONTRACTOR: AIR DESIGN , INC . LICENSE NUMBER: AIRDEI*161JW PHONE NUMBER_ 487-4328 MAILING ADDRESS: E 1815 FRANCIS SPOKANE WA 99207 (Street) (City/State) (Zip) WP 1LCi1TNTC AL WORK3 HuLt FE E SCHEDULE - , r" '�s.'...t. NUMBER X EACH DESCRIPTION OF UNITS UNIT': = AMOUNT DUCTWORK SYSTEM : x$10.00 .= WOODSTOVE/INSERT x 25.00 = GAS WATER HEATER l X 10.00 /0.00 HEATING EQUIPMENT <100, 000 BTU ( X 12.00, .---=' '1, ./00 HEATING EQUIPMENT +100, 000 BTU ,x': 15:•;00 GAS PIPING (EA OUTLET) 1 X 1'.00 1 (SZ) REFRIG 1-100M- BTU (NOT A/C OR. HEAT PUMP) .., x 12.00, :=. REFRIG 101-500M BTU X 20.uO =• REFRIG : 501-1;000M BTU ;, ,',. Ix 25.00 t REFRIG 1, 001-1;750M, BTU x 35.:00 REFRIG +1,750M- BTU ;:; X 60.00 HEAT' PUMP/W::AIR CONDITIONER`'0-3 TONS % _ x 3.2.0C - • I 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 6.0..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 TT HOD x 10.00 = �^ CLOTHES DRYER X 10.00 1 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 5 3 . c.) PLUS: PROCESSING FEE +. $ 25. 00 EQUALS: TOTAL PERMIT NOTE: MIN MUM PERMIT FEE IS $35. 00 FEE DUE = $! 6, , C� SIGNATURE aij da Spokane County Department of Buildingand Safety 1303 Broadway Avenue Spokane, WA 260 (509) 456-3675