1992, 12-15 Permit App: 92010968 Mechanical FixturesMECHANICAL PERMIT APPLICATION FORM 12` I DT(e)
Infzmapption Worksheet
JOB STREET ADDRESS: ,V 99/ 7 Zap n.f
CITY/STATE/ZIP: 4,,,,,,egib2., 1,171._ PARCEL NUMBER:
OWNER: Pc�.r'►��l ot. _Seal,trA PHONE NUMBER: 9.0 Co - We2,3
MAILING ADDRESS:
-11
(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 WORK
DESCRIPTION
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
".V IRR
IN4flST4::::FIIN:.::::::::::::::.::::.::.
GAS WATER HEATER
GAS:<EQUIPMENT
GAS EQUIPMENT +100,000 BTU DUCTWORK)
BOILER/REFRIG 1-100M BTU
BOILER/REFRIG 501-1,000M BTU
6OlI..E 1�1 EFRIG 1.,000- x 50M'BTI
..:::::::::.::::.:::..................................................... ..... .
BOILER/REFRIG +1,750M BTU
HEA '::> UMP: r CND TION ti ;TO'JS » > >»
::::::::::::::::::::::::::::::.:................................................................
HEAT PUMP & AIR CONDITIONER 3-15 TONS
NDITION
:.:::....::::...........................:................................
HEAT PUMP & AIR CONDITIONER 30-50 TONS
HEST>PUMP. & ALR CONRITIONER'+50
VENTILATING FANS
ATIVEC
TYPE 1 HOOD (PER 12' OR 12' PTN. OF HOOD)
CLOTHES DRYER
GAS LOG
MIS C A E U (NOT COVERED EC SEWHE•
R
UNLISTED GAS APPLIANCE <400,000 BTU
ULINSTED:GAS APPLIANCE,> 4004000 OTU
USED APPLIANCE <400,000 BTU
ISE :>APPUANCE .0:0 000 BTU ;::
AIR HANDLER <10,000 CFM
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE 47 ,ti, 4/1
(Zip)
(Zip)
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
x 10.00 =
x 25.00 =
x 10.00 =
/p ---
x12.00=
/-2---
x 15.00 =
o�
x 1.00 =
x 12.00 =
x20.00 =
x 25.00 =
x 35.00 =
x 60.00 =
x12.00 =
x20.00 =
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 =
-2 -
(
,x-
•
•
x 10.00 =
x 50.00 =
x100.00 =
x 50.00 =
x100.00 =
x 12.00 =
x 15.00 =
SUBTOTAL
$ 2
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
=$ 0/
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675