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HomeMy WebLinkAbout1993, 02-09 Permit App: 93000727 Water Heater, PipingMECHANICAL PERMIT APPLICATION FORM Information Worksheet 4C- (1-0 / CITY/STATE/ZIP: /(1Zi PARCEL NUMBER: OWNER:6-/ (71-7de,---i2-- PHONE NUMBER: ,,- MAILING ADDRESS: e"•,/ -7,7-e.,, JOB STREET ADDRESS: 2 -T2,1 -125Le (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) GAS WATER HEATER GAS EQUIPMENT <100,000 gtoomwgivoKLv. GAS EQUIPMENT +100,000 BTU DUCTWOR GAS P1PING (EA OUTLE) BOILER/REFRIG 1-100M BTU BOILER/REFRIG 501-1,000M BTU „Itgip1oggrppii..00014.1g50stif.„.,, BOILER/REFRIG +1,750M BTU 610.41_ HEAT PUMP' & AIR CONDITIONER 3-15 TONS • cONDiTIONER15-SOTONS HEAT PUMP & AIR CONDITIONER 30-50 TONS HooievgeioAtKgoNprnoogk*: VENTILATING FANS EVAPORATIVE00% TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) CLOTHES DRYER GAS LOG mipppacm9Rov5iINgrogyERmaso0A UNLISTED GAS APPLIANCE <400,000 BTU UoNsno,:GAsiAppi..(p8Nqt >400,000 BTU USED APPLIANCE <400,000 BTU BTU ... AIR HANDLER <10,000 CFM A01:::!9)444gaiik'„..„ " '' • " NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE (Zip) (zip) NUMBER OF UNITS X EACH UNIT - AMOUNT x10.00 = x25.00 = x 10.00 = x 12.00 x 15.00 = x1.00 = x 12.00 = x20.00 = x 25.00 = x 35.00 = x 60.00 = x 12.00 = x20.00 = x 25.00 = x 35.00 = x60.00 81; x10.00 = X 10.00 = x 50.00 = x10.00 = x10.00 = x 10.00 = x10.00 = x 10.00 = x 50.00 = x100.00 = x 50.00 = x100.00 = x 12.00 = x 15.00 = /&V 1- , . • - • SUBTOTAL $ PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE ,-- ? 4,, 0 o - -42J*- Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675