1992, 06-19 Permit Application: 92004532 Application Gas Water Heater & Piping y51963 •D2,5 0I2_. -q6" .
uZG�It�1SoN5 MECHANICAL PERMIT APPLICATION FORM
a, . _ri,, t j-•"- Information Worksheet
/-C�„7 f
JOB STREET ADDRESS: c. 2 9oZ6 ,f/(1 �
CRY/STATE/ZIP: ,Tip049>2 c7 &✓/9- . PARCEL NUMBER:
OWNER: /f cf a,rd ,f tx A$ I U Id PHONE NUMBER: 7..2 ,‘ 6 7(
MAILING ADDRESS:
(Street) (City/State) (Zip)
CONTRACTOR: AIRE VALLEY HEATING & cooling LICENSE NUMBER: AIREVHI1410H
PHONE NUMBER: 924-0018
MAILING ADDRESS: N. 521 Ella Rd. Spokane, WA 99212
(Street) (City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
I DESCRIPTION OF UNITS UNIT =AMOUNT
ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) x 10.00 =
WOODSTOVE NSERr x 25.00 =
GAS WATER HEATER / x 10.00 = / O
1 GAS EQUIPMENT<100,000'BTU (INCLUDES / x 12.00 = 4.2°'
GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 =
GAS PIPING.(EA OUTLET) ! <2 . x 1.00 = 02
BOILER/REFRIG 1-100M BTU x 12.00 =
BOILER/RERRfG 11--500M BTU...........:. ,:.:... . . <>. x 20.00 =
I BOILER/REFRIG 501-1,000M BTU x 25.00 =
- =
:SgILt*R/RE�'F�IG 1,U001 �f7`50M:STU ` `<��>�<><?<> �> €`": x 35 00
BOILER/REFRIG +1,750M BTU x 60.00 =
HEAT PUMP &AIR CONDITIONER 0-3 TONS 511:ittigit;', x 12.00 =
HEAT PUMP &AIR CONDITIONER 3-15 TONS x 20.00 =
• :
HEAT PUMP&AIR:.CONDIT;IONER 15-SO TONS x 25.00 =
HEAT PUMP &AIR CONDITIONER 30-50 TOf�S • x 35.00 =
.HEAT PUMP &AiR CONDI TIONER +50 i O rs x 60.00 =
VENTILATING FANS x 10.00 = •
EVAhORATI E COOLERS.. .;<. > < :< ::.>:: :: >>'.><::::..:<.::.:.:.:::.::.> :
x 10.00 =
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) x 50.00 =
TYPE 11 HOOQ x 10.00 =
CLOTHES DRYER x 10.00 =
:LEA, � .:: ::::::;:..;:::.:;:::::;:: :;.:;::::.:..::::.;::.; :::: : :::::::.:.:..
x 10.00
=..:..............::........................... ... ..............
GAS LOG x 10.00 =
;MISCELLANEOUS(NOT COVERED ELSEWHERE x 10.00 =
UNLISTED GAS APPLIANCE<400,000 BTU x 50.00 =
-ULINSTED GAS APPLIANCE>400,000,BTU _ x100.00 =
USED APPLIANCE<400,000 BTU x 50.00 =
.USED APPLIANCE>400,Q00 BTU': ;:
x100.00=
AIR HANDLER <10,000 CFM x 12.00 =
A D ' > . > ;M
x 15.00
1 �
t� 0
SUBTOTAL $ a y.o0
PLUS: PROCESSING FEE +$ 25.00
NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS: TOTAL PERMIT
FEE DUE =$ y 9. D0
SIGNATURE /LEA zaum,_
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675