1992, 10-01 Permit App 92008313 Mechanical Fixtures�5T L ( a MECHANICAL PERMIT APPLICATION FORM
ILL_ 6- Informatics Worksheet
JOB STREET ADDRESS: 10521 E. Ferret Dr.
CITY/STATE/ZIP:Spokane, WA 992116
OWNER: Dean Grafos PHONE NUMBER:
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PARCEL NUMBER:
MAILING ADDRESS: (Street) (City/State) (Zip)
CONTRACTOR: Allied Heating. Inc. LICENSE NUMBER: ALLIEI*200D4
MAILING ADDRESS: 9309 E. Trent
(Street)
PHONE NUMBER: 928-8252
Spnkane, WA 99206
(City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
DESCRIPTION OF UNITS UNIT
DUCTWORK SYSTEM
WQCJDSTOVE/INSERT
GAS, WATER HEATER
H P,TING EQUIPMENT <100,000
HEP,TING EQUIPMENT +100,000
GASi PIPING (EA OUTLET)
REFRIG 1-100M BTU (NOT A/C
REFRIG 101-500M BTU
REFRIG 501-1,000M BTU
REFRIG 1,001-1,750M BTU
REFRIG +1,750M BTU
0-3 TONS
3-15 TONS
15-30 TONS _
30-50 TONS
+50 TONS
BTU
BTU
OR HEAT PUMP)
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
VENTILATING
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
FANS
EVAPORATIVE COOLERS
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
TY}?E II HOOD
CLOTHES DRYER
RANGE
GA!; LOG
MI:jCELLANEOUS (NOT COVERED ELSEWHERE) _ _
UNJISTED GAS APPLIANCE <400,000 BTU
UNJISTED GAS APPLIANCE >400,000 BTU_ _
US]D APPLIANCE <400,000 BTU
US4D APPLIANCE >400,000 BTU
AI4 HANDLER <10,000 CFM
AI4 HANDLER >10,000 CFM
l
3
NOTE: MINIMUM PERMIT FEE IS $35.00
S Ii,;NATURE e _eP c
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
x$10.00
x 25.00
x 10.00
x 12.00
x 15.00
x 1.00
x 12.00
x 20.00
x 25.00
x 35.00
x 60.00
x 12.0C
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
= AMOUNT
�' Oo
5. do
3.OQ
SUBTOTAL
$ �£5•ac5
PLUS: PROCESSING FEE
EQUALS: TOTAL PERMIT
FEE DUE
$ 25.00