The URL can be used to link to this page

1992, 09-08 Permit App 92007319 Wtr Htr„q006 a- Dt-7 mt6HANIU L rt MI i ArrLlt:A H IUN "'UMWc7t (,' P Inforvation Worksheet STREET ADDRESS: C )://e()(p /Y/'r' (� (1 `09 CITY/STATE/ZIP: j - ;; G/27- PARCEL NUMBER: OWNER: ` ?r /L f7 MAILING ADDRESS: /// (Street) PHONE NUMBER: �� - c3f// (City/State) (Zip) CONTRACTOR: g bir4G 4-- M. ` ..-c_ LICENSE NUMBER: (1 k o 13 L- PHONE NUMBER: q - Z - 5-n o c, MAILING ADDRESS: 1\€tL 1 Pis t''42A4 14' (Street) Ct-4 Zo;(z, (Ciy/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS UNIT DUCTWORK SYSTEM WOODSTOVE/INSERT GAS WATER HEATER HEATING EQUIPMENT <100,000 BTU HEATING EQUIPMENT +100,000 BTU GAS PIPING (1 - 4 OUTLETS) GAS PIPING (5 OR MORE. EACH:) REFRIG 1-100M BTU (NOT A/C OR HEAT PUMP) REFRIG 101-500M BTU REFRIG 501-1,000M BTU REFRIG 1,001-1,750M BTU REFRIG +1,750M BTU HEAT PUMP & AIR CONDITIONER 0-3 TONS HEAT PUMP & HEAT PUMP & HEAT PUMP & HEAT PUMP & VENTILATING EVAPORATIVE AIR CONDITIONER AIR CONDITIONER AIR CONDITIONER AIR CONDITIONER FANS 3-15 TONS 15-30 TONS 30-50 TONS +50 TONS COOLERS TYPE I HOOD (PER 12' OR 12' TYPE II HOOD CLOTHES DRYER RANGE PTN. OF HOOD) GAS LOG MISCELLANEOUS (NOT COVERED ELSEWHERE) UNLISTED GAS APPLIANCE <400,000 BTU_ UNLISTED GAS APPLIANCE >400,000 BTU_ USED APPLIANCE <400,000 BTU USED APPLIANCE >400,000 BTU AIR HANDLER <10,000 CFM AIR HANDLER >10,000 CFM NOTE: MINIMUM PERMIT FEE IS $35.00 SUBTOTAL x$10.00 x 25.00 x 10.00 x 12.00 x 15.00 x 4.00 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 PLUS: PROCESSING FEE EQUALS: TOTAL PERMIT FEE DUE = AMOUNT $ 25.00 SIGNATURE Spokane County Department of Building and Safety West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675