1993, 01-19 Permit App 93000264 Mechanical Fixtures;���� `°2S� ,i -3 MECHAN C L ERMIT APPLICATION FORM • �_ zG c. ' .
'�`CL Informatio Worfcsheet
JOB STREET ADDRESS: E 25/ .'Y 9t>t 1 SI 84
CITY/STATE/ZIP: f10 ka / ' 1,0I4 C/�%� la. PARCEL NUMBER:
OWNER: ,, h V r I Sr?JI r7' , 1 _ PHONE NUMBER: 9a? 6 -, ?/ a
MAILING ADDRESS(
(Street)
CONTRACTOR: Heat Transfer Inc.
MAILING ADDRESS:
DESCRIPTION
(City/State) (Zip)
LICENSE NUMBER: Heatt i -1881 n
PHONE NUMBER: 482-2000
N. 3003 Crestline Spokane, WA 99207
(Street) (City/State)
MECHANICAL WORKSHEET/FEE SCHEDULE
PP)
NUMBER
OF UNITS
XEACH
UNIT
= AMOUNT
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
GAS WATER HEATER
GAS EQUIPMENT+100,000 BTU DUCTWORK)
GAS PIPING (EA OUTLET <:::.;::;
BOILER/REFRIG 1-100M BTU
=BO1 #EE31 1. R.,::•.;.,:.Y.,:.4>:<:;<..:>:,,,•::.:
BOILER/REFRIG 501-1,000M BTU
v<:F'f:,N 4,: fi::! i'fxv,!M.m-. Y.):{NKn:v.:M.Y':P:'^".•y{( n•
...... ........Fi1G;`1``OOO:I•`=1•:• 750M�<BTU
BOILER/REFRIG +1,750M BTU
••
>r:>>
•. ,;EAR DUMP .&..AIR COC�IDITION ER 0 3 TONS
HEAT PUMP & AIR CONDITIONER 3-15 TONS
U... P:B�:AIR;:CONDI.TiO:N..ER;1'S=3.0::>T.QNS<
HEAT PUMP & AIR CONDITIONER 30-50 TONS
I. TO
;i?1.5..:
VENTILATING FANS
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
I _ I.H
CLOTHES DRYER
.....:...................................:.........:..........
GAS LOG
/
?MI.S.GE€1i`I£);' C?7'<{3SEREOI=%SEWI3i=k: v
UNLISTED GAS APPLIANCE <400,000 BTU
RfC711=:bG>h2ii�E:EAi^C�it:riiirizri::r`:>:«
USED APPLIANCE <400,000 BTU
AIR HANDLER <10,000 CFM
:arR
:..:?.:w::. • •
-.v vti v}y� i\?NtiiJ;fi+}:p
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 12.00 =
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 =
x50.00 =
x100. 00 =
x12.00 =
x15.00 =
/o-va
/oo
-pG
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE / ///I Yak 41
1
Spokane County Division of Buildings
West 1026 Broadway Avenue Spokane, WA 99260 (509) 456-3675
SUBTOTAL
$ 4-. c
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
/-/3