1992, 06-15 Permit App: 92004321 Mechanical Fixtures0 TP ' X020 MECHANICAL PERM! "APPLICATION FORM
�� g /� ( Information Worksheet
JOB STREET ADDRESS: AL t2 6 , /4'
CITY/STATE/ZIP: r Sek i. "17p 1.(}1)-. PARCEL NUMBER:
OWNER: G`J !. , S Ti e / C1 PHONE NUMBER:
MAILING ADDRESS: c/
(Zip)
-(43/
77a
7yo y
(Street) (City/State)
CONTRACTOR: AIRE VALLEY HEATING & cooling LICENSE NUMBER: AIREVHI1410H
PHONE NUMBER: 924-0018
MAILING ADDRESS: N. 521 Elia Rd. Spokane, WA 99212
(Street) (City/State)
MECHANICAL WORK
DESCRIPTION
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
GAS WATER HEATER
GAS.. EQUIPMENT <iO0,050;8TU (IN.Cl UDES
GAS EQUIPMENT +100,000 BTU DUCTWORK)
GAS' IPIN.G. T
p...
...............:...........
BOILER/REFRIG 1-100M BTU
a lt*9Fi .;� G........ �-500.8<X;U.>:.:>:.>::.>
BOILER/REFRIG 501-1,000M BTU
t O.i.LER/.fEFf IG.:„:.. 0001:
BOILER/REFRIG +1,750M BTU
HEAT PUMP &;AII' ::CONDITIONEta0-3 TON.S'`'<»> > <
HEAT PUMP & AIR CONDITIONER 3-15 TONS
............ ,..........::..............
. HEAT PUMP &AIR:>CONDITIONE t<15'-30•
HEAT PUMP & AIR CONDITIONER 30-50 TONS
VENTILATING FANS
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
i
ThrNoir:
CLOTHES DRYER
GAS LOG
MISCELLANEOUS (NOT: COV I D ELS WH. RE
UNLISTED GAS APPLIANCE <400,000 BTU
ULINSTED GAS' AP:PLIANCE>400,000.`DTU
USED APPLIANCE <400,000 BTU
USED: PP IA E>4 0`B
AIR HANDLER <10,000 CFM
D >:
tl.Q.Q.CSM::<.;;::.::::.::.:::::;.;:.:
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE
(Zip)
NUMBER
OF UNITS
X EACH
UNIT
- AMOUNT
x 10.00 m
x 25.00 -
x10.00=
/d°%
x12.00 =
/c;2 ofl
x 15.00 =
x 1.00 =
od °=
x 12.00 =
x20.00 =
x 25.00 =
x35.00 =
x 60.00 =
x 12.00 =
x 20.00 =
x25.00 =
x35.00 =
x 60.00 =
x 10.00 n
x 10.00 =
x 50.00 =
x 10.00 =
x10.00 =
•
•
x 10.00 =•
•
x 10.00 =
x 10.00 .1--
x 50.00 =
x
x100.00 =
x 50.00 =
X100.00 =
x 12.00 =
x 15.00 =
SUBTOTAL
$ may. co
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
=$ y,-.0
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675