1993, 04-09 Permit App: 93002324 Mechanical FixturesMECHANICAL WORKSHEET/FEE SCHEDULE
DESCRIPTION
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
..........
•�0
GAS WATER HEATER
Mir
.1
W.F.I.S. 1.1.11,0A.P.10 T
RN - -
GAS EQUIPMENT +100,000 BTU DUCTWORK)
a
BOILER/REFRIG 1-100M BTU
BOILER/REFRIG 501-1,000M BTU
BOILER/REFRIG +11.750M BTU
HEAT PUMP & AIR CONDITIONER 3-15 TONS
HEAT PUMP & AIR CONDITIONER 30-50 TONS
VENTILATING FANS
TYPE I HOOD (PER 12' OR 12'PTN OF HOOD)
CLOTHES DRYER
GAS LOG
UNLISTED GAS APPLIANCE <400,000 BTU
USED APPLIANCE <400,000 BTU
f
I
AIR HANDLER <10,000 CFM
NOTE-- MINIMUM PERMIT FEE IS $35.00
NUMBER
X EACH
OF UNITS
UNIT =AMOUNT
MECHANICAL
PERMIT APPLICATION FORM
x 10.00
x 12.00 ja 00
Information Worksheet
x 15.00
JOB STREET ADDRESS:
2
X 12.00
X 20.00
CITY/STATE/ZIP:
PARCEL NUMBER:
OWNER:
YYI 0-n
PHONE NUMBER:
MAILING ADDRESS:
f--
0,im ye,(Street)
x 35.00
(City/State)
(zip)
x 10.00 =
x 10.00 =
x 50.00 =
x 10.00 -
CONTRACTOR:
LICENSE NUMBER:
x 10.00 =
PHONE NUMBER:
MAILING ADDRESS:
x 50.00 =
x100.00 -
(Street)
(City/State)
(zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
DESCRIPTION
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
..........
•�0
GAS WATER HEATER
Mir
.1
W.F.I.S. 1.1.11,0A.P.10 T
RN - -
GAS EQUIPMENT +100,000 BTU DUCTWORK)
a
BOILER/REFRIG 1-100M BTU
BOILER/REFRIG 501-1,000M BTU
BOILER/REFRIG +11.750M BTU
HEAT PUMP & AIR CONDITIONER 3-15 TONS
HEAT PUMP & AIR CONDITIONER 30-50 TONS
VENTILATING FANS
TYPE I HOOD (PER 12' OR 12'PTN OF HOOD)
CLOTHES DRYER
GAS LOG
UNLISTED GAS APPLIANCE <400,000 BTU
USED APPLIANCE <400,000 BTU
f
I
AIR HANDLER <10,000 CFM
NOTE-- MINIMUM PERMIT FEE IS $35.00
NUMBER
X EACH
OF UNITS
UNIT =AMOUNT
x 10.00
x 25.00
x 10.00
x 12.00 ja 00
x 15.00
X 1.00
X 12.00
X 20.00
x 25.00
x 35.00 =
x 60.00 =
X 12.00
x 20.00
x 25.00
x 35.00
x 60.00 =
x 10.00 =
x 10.00 =
x 50.00 =
x 10.00 -
x 10.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 50.00 =
x100.00 -
x 50.00 =
x100.00 =
x 12.00 =
x 15.00 =
SUBTOTAL $ n 3 c('
PLUS: PROCESSING FEE +$ 25.00
EQUALS: TOTAL PERMIT
FEE DUE =s UO
SIGNATURE
Spokane County Division of Buildings
\A/ncztlqOqRrnnriwnvAvpniip.';nnknnp.WA 99260(509)456-3675