1992, 07-14 Permit App: 92005217 Mechanical FixturesMECHANICAL PERMIT APPLICATION FORM Ott"
/ l Information Worksheet (08j 26
JOB STREET ADDRESS: .2 7' r.,-,--.10.2/-7? • 10,30'8 Q r (fA
CITY/STATE//ZIP: S�Oo�'aiu. T„)/3 PARCEL NUMBER:
OWNER: , 2J'n/ k io /.(t PHONE NUMBER: V Y2- 02 7/2
MAILING ADDRESS:
I
(Street) (City/State)
CONTRACTOR: AIRE VALLEY HEATING & cooling LICENSE NUMBER: AIREVHI1410H
PHONE NUMBER: 924-0018
MAILING ADDRESS: N. 521 Elia Rd. Spokane, WA 99212
DESCRIPTION
(Street)
(City/State)
MECHANICAL WORKSHEET/FEE SCHEDULE
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
GAS WATER HEATER
GAS..EQUIPMf=NT;<1:00 000.STU;(I.NCLUDES `:;:_::
GAS EQUIPMENT +100,000 BTU DUCTWORK)
GAS... I G OUT,> :::>:< :> ; < ::<> •"••••
BOILER/REFRIG 1-100M BTU
.................................................
BOILER/REFRIG 501-1,000M BTU
...............................
SOI.LERIREERIG:1 0001'1` 700
BOILER/REFRIG +1,750M BTU
HEAT PUMP & ALRCONDITIONER;;O :TONS
HEAT PUMP & AIR CONDITIONER 3-15 TONS
HEAT PU:M.P &°AI.R CCNDIT$ONER 15'-30'TONS
HEAT PUMP & AIR CONDITIONER 30-50 TONS
PUMP &: AIR C:O:N:DITICSNER+50 TONS:i
:................:.............................:.::......:. ............:.............:::.: .... .
VENTILATING FANS
..............................
................................................................
..............................................................................................
TYPE 1 HOOD (PER 12' OR 12' PTN. OF HOOD)
CLOTHES DRYER
GAS LOG
...........................
....................
MISC.EI LANEOUS NOT COV REC ELSENIHERI
UNLISTED GAS APPLIANCE <400,000 BTU
ULINSTED GAS' APPLIANCE>400;000 DTU
USED APPLIANCE <400,000 BTU
USED:>APPLIANCE 400000 BTU:::<> ::
AIR HANDLER <10,000 CFM
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE (1-?
IScuyvr✓
(Zip)
(Zip)
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
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 =
x20.00 =
I
/ a. , 6t)
/
•02p"
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 =
•
SUBTOTAL
$ e2 v • ex)
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
=$ l/ i,5' °--%
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
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