HomeMy WebLinkAbout1992, 01-23 Permit App: 92000387 Mechanical Fixtures285(44-1811
',XL! V' (fess if -\C MECHANICAL..--.
PE. APPLICATION FORM I a r & 7
3-1/f3 Information Worksheet
JOB STREET ADDRESS: 3 o Y .S. ¢o1 -es . 51 an
CITY/STATE/ZIP: .S'QOk¢n.. , 4/if • PARCEL NUMBER:
OWNER: Art Zn 19149 MQ t' PHONE NUMBER: 9 a 8- 0D83 -
MAILING ADDRESS:
(Street) (City/State)
CONTRACTOR: AIRE VALLEY HEATING & cooling LICENSE NUMBER: AIREVHI1410H
PHONE NUMBER: 924-0018
MAILING ADDRESS: N. 521 Ella Rd. Spokane, WA 99212
(Street)
- (City/State)
MECHANICAL WORKSHEET/FEE SCHEDULE
DESCRIPTION
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
WOODSTOVEANSERT' .::.
GAS WATER HEATER
GAS::EQUIPMENT<i00,000 BTU (INCLUDES
GAS EQUIPMENT+100,000 BTU DUCTWORK)
'GAS; PIPING„ (EA OUTLET)
BOILER/REFRIG 1-100M BTU
:B0ILER/REFRIG.:101=500M
BOILER/REFRIG 501-1,000M BTU
€BOILER/REFRIG 1,0001-1,750M BTU.::'
BOILER/REFRIG +1,750M BTU
HEAT;PUMP;& AIR CONDITIONER 0-3 TONS:.::
HEAT PUMP & AIR CONDITIONER 3-15 TONS
HEAT:PUMP& AIRCONDITIONER
HEAT PUMP & AIR CONDITIONER 30-50 TONS
HEAT.PUMP"B AIR CONDITIONER +50 TONS
VENTILATING FANS
:EVAPORATIVE COOLERS: ;; ` `:..
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
"fYPEiltHOOf) "' ' :'
CLOTHES DRYER
GAS LOG
MISCELLANEOUS (NOT:COVERED: ELSEWHERE
UNLISTED GAS APPLIANCE <400,000 BTU
:ULINSTED GAS'APPLIANCE >400,00013TU
USED APPLIANCE <400,000 BTU
USEO;APPLIANCE>400,000 BTU;.
AIR HANDLER <10,000 CFM
AIRHANDLER >10,000 CFM
NOTE: MINIMUM PERMIT FEE IS $35.00
(Zip)
(Zip)
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
x10.00 =
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 =
x10.00=
c1°_
9' L1
oRao=
x10.00 =
x 50.00 =
x100.00 =
x 50.00 =
x100.00 =
x 12.00 =
x 15.00 =
SUBTOTAL
$ .2a . co
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
=$ '17.60
SIGNATURE sg,24,7 Q_ Z4a494
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675