1992, 11-23 Permit App: 92010320 Mechanical FixturesMEGHAN!CAL PEHMI APPLICATION FORM Information Worksheet
JOB STREET ADDRESS: 2731 Cheryl C t .
CITY/STATE/ZIP: Spokane, WA 99037
OWNER: AlhPrt Vann'
MAILING ADDRESS:
o -`c3
11(0(7
PARCEL NUMBER:
PHONE NUMBER: 979-91 0_1
(Street) (City/State) SUNLOI107J6
LICENSE NUMBER: SUNLOI101JB
PHONE NUMBER: 455-41.47
CONTRACTOR: Inland Heating & Cooling
MAILING ADDRESS:
DESCRIPTION
(Zip)
3655 Govt. Way 1/12 Coeur d'Alene, ID 83814
(Street) (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{EAOUTLET).
BOILER/REFRIG 1-100M BTU
BOILER/REFRIG1101-S00M BTU
BOILER/REFRIG 501-1.000M BTU
BOILER/REFRIG 1,0001-1 750M BTU
BOILER/REFRIG +1,750M BTU
HEAT PUMP&AIR:GONDT1ONER 0-3 TONS
HEAT PUMP & AIR CONDITIONER 3-15 TONS
HEgTPUMP & 1f3 CONDITIONER 1-5-1:..19' TONS
HEAT PUMP & AIR CONDITIONER 30-50 TONS
HEAT4.11 MP %f' ,CONDITIONER -+50 TONS
VENTILATING FANS
EVAPORATIVEpOOLERS
TYPE 1 HOOD (PER 12' OR 12' PTN_ OF H000)
TYPE
CLOTHES DRYER
RANGE ..
GAS LOG
MISCELLANEOUS (NOT COVERED IELSEVniERIE
UNLISTED GAS APPLIANCE <.400.000 !ITU
ULINSTED GAS APPLIANCE >400.000 BTU
USED APPLIANCE <i400,000 BTU
USED APPLIANCE .000 STU
AIR HANDLER <10.000 CF7A
AIR HANDLER >10.000 CFTJ
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 =
x 12.00 =
x 20.00 =
x 25.00 =
x 35.00 =
x 60.00 =
x 10.00 =
x 10.00 =
x 50.00 =
x10.00 =
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
10.00
15 00
7 no
NOTE: MINIMUM PERMIT FEE IS 535.00
SIGNATURE
SUBTOTAL
PLUS: PROCESSING FEE
27.00
+ S 25.00
EQUALS: TOTAL PERMIT
FEE DUE =
52.00
Spokane County Division of Buildings