1991, 11-12 Permit App: 91007767 Mechanical Fixtures1 00:0 R-«"" ua MECHANICAL i ANICA :Information APPLICATION N FORM
tion Worksheet
JOB STREET ADDRESS: .5 f'// G4X-4-4d0
CITY/STATE/ZIP: Spoke, lust w4.
OWNER: t% o / / J{r9l.J e.(/
PARCEL NUMBER:
91- 77(01
PHONE NUMBER: V.16. 8 ya o
MAILING ADDRESS:
(Street) (City/State)
CONTRACTOR: AIRE VALLEY HEATING S. Cooling LICENSE NUMBER: ATRFVRT141 n11
PHONE NUMBER: 924-0018
N. 521 Ella Rd. Spokane, WA 99212
(Street) (City/State)
MAILING ADDRESS:
DESCRIPTION
MECHANICAL WORKSHEET/FEE SCHEDULE
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
WOODSTOVE/INSERT
GAS WATER HEATER
GAS EQUIPMENT <100,000BTU (INCLUDES
GAS EQUIPMENT+100,000 BTU DUCTWORK)
GAS PIPING (EA OUTLET)
BOILER/REFRIG 1-100M BTU
BOILER/REFRIG 101-500M ETU_:
BOILER/REFRIG 501-1,000M BTU
BOILER/REFRIG 1,0001 1,750M BTU .'
BOILER/REFRIG +1,750M BTU
HEAT PUMP & AIR:CONDITIONER tl S TONS
HEAT PUMP & AIR CONDITIONER 3-15 TONS
HEAT PUMP & AIR:; CONDITIONER 15 -:30 TONS
HEAT PUMP & AIR CONDITIONER 30-50 TONS
].HEAT PUMP & AIR; CONDITIONER+50'TONS ;
VENTILATING FANS
EVAPORATIVE COOLERS
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
;TYPE II HOOD ..
CLOTHES DRYER
RANGE
GAS LOG
MISCELLANEOUS',(NOT COVERED ELSEWHERE
UNLISTED GAS APPLIANCE <400,000 BTU
ULINSTED GAS APPLIANCE:>400,000'BTU
USED APPLIANCE <400,000 BTU
USED APPLIANCE>400,000 (BTU
AIR HANDLER <10,000 CFM R E C E 1 V:,E.0,;,
AIR HANDLER >10 000 CFM r;
8 1591
BUILDING & SAFETY
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE at 950.n"
(Zip)
(Zip)
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
x 10.00 =
x 25.00 =
x 10.00 =
x12.00 =
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 =
x60.00 =
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 =
x15.00 =
/e2 °=
02,
-2 °=
SUBTOTAL
$ tx y.°..,
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
_$ 39°0
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675