1992, 09-23 Permit App: 92007987 Mechanical FixturesJOB STREET
MECHANICAL PERMIT APPLICATION FORM
Information Worksheet
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CITY/STATE/ZIP: fA" ��- PARCEL NUMBER:
OWNER: ,b Y r n PHONE NUMBER: 202/ - D 90 (o
MAILING ADDRESS:
(Street)
(City/State)
CONTRACTOR: AIRE VALLEY HEATING & Cooling LICENSE NUMBER: ATRFVHT141 w
PHONE NUMBER: 924-0018
(Zip)
MAILING ADDRESS: N. 521 Ella Rd. Spokane, WA 99212
(Street) (City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
DESCRIPTION
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
: `��.,V>,<:.,,::: >..:.:.;. : > >_iii:iii %i2 <%% Y% [ % <>> » : 2 ><
>1h1S C4.>F.INS'..:::::::::
GAS WATER HEATER
GAS EQUIPMENT +100,000 BTU DUCTWORK)
BOILER/REFRIG 1-100M BTU
gQlRIA..: RIG 1-50NI .::.<.;;:.;::» .:..:.......................
:
BOILER/REFRIG 501-1,000M BTU
BOILER/REFRIG +1,750M BTU
USED APPLIANCE <400,000 BTU
AIR HANDLER <10,000 CFM
;Alli HA�1QL li5-* OQQ C M` ':> ': ': `':>`: .:...:....... .; <.::' > :' ......
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE
NUMBER
OF UNITS
X EACH
UNIT
=AMOUNT
x 10.00 =
x 25.00 =
x10.00 =
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 =
x 20.00 =
x 26.00 =
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 =
x15.00 =
02
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SUBTOTAL
$
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
=$ 7
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675