1992, 11-23 Permit App: 92010317 Mechanical FixturesLFDa-3 co
MECHANICAL PERMIT APPLICATION FORM
�‘I40E2e c Infor.:nation Yl/orksheet
JOB STREET ADDRESS: 2 7 2 2 Cheryl Ct.
CITY/STATE/ZIP: Spokane . WA 99037 PARCEL NUMBER -
OWNER: Daniel Meckel PHONE NUMBER: 924-1543
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MAILING ADDRESS:
(Street)
CONTRACTOR: Inland Heating & Cooling
MAILING ADDRESS:
DESCRIPTION
3655 Govt. Way 1112
(Street)
(City/State) SUNLOI107J6 (Zip)
LICENSE NUMBER: SUNLOI101JB
PHONE NUMBER: 455-4147
Coeur d'Alene, ID 83814
(City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
WOODSTOVE/INSERT
GAS WATER HEATER
GAS EQUIPMENT <-100.000 BTU (INCLUDES
GAS EQUIPMENT +100.000 BTU DUCTWORK)
GAS PIPING:(EAflt1TLET);.
BOILER/REFRIG 1-100M BTU
BOI LERIREFRIG J 01- 500M BTU
BOILER/REFRIG 501-1.000M BTU
BOILER/REFRIG 7,0001-1 `;750M BTU
BOILER/REFRIG 4-1.750M BTU
HEAT-PUMP.&AUR;GONDITIONER TO
O-3 NS
HEAT PUMP & AIR CONDITIONER 3-15 TONS
HPN.T.:*0.MRE&!AttalcONOITIONER 15-30.TONS
HEAT PUMP & AIR CONDITIONER 30-50 TONS
HEAT,_ik MP& CONDITIONER-+50TONS':
•VENTILATING FANS
EVAPORAT0E3C4OLERS
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
CLOTHES DRYER
RANGE
GAS LOG
MISCELLANEOUS (NOT COVERED ELSIEWHERE
UNLISTED GAS APPLIANCE <400.000 I TU
UUKSTED GAS APPLIANCE >400.000 BTU
USED APPLIANCE <400.000 OTU
USED APPLIANCE >AM= QTU
AtR HANDLER <10.000 CF7r1
AIR HANDLER >10.000 CF11
NOTE: MINIMUM PERMIT FEE IS 135.00
SIGNATURE
1
1
2
x 10_00 =
x 25.00 =
x 10.00 =
x 12.00 =
x 15.03 =
x 1.00 =
x 12.00 =
x 20.00 =
x 25.00 =
x 35.00 =
x 60.00 =
x12.00 =
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 =
x15.00 -
10.00
15.00
7 00
SUBTOTAL
PLUS: PROCESSING FEE
EQUALS: TOTAL PERMIT
FEE DUE
27_00
$ 25.00
-S 52.00
Spokane County Division of Buildings
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