1993, 05-20 Permit App: 93003810 Water Heater, Piping1: Of 1
L,,✓C. (C • atb Hwvty_MECHANICAL PERMIT.APPLICATION FORM
Information
�IWorksheet -Ir 1 `t ZS
, JOB STREET ADDRES : /v 2 7 0S. PiI%/a_.
11I
ti CITY/STATE/ZIP:! lin //)>� PARCEL NUMBER:
I
OWNER: %c� e_I-AI[!C PHONE NUMBER: 7269- f7n
I MAILING ADDRESS:
ik
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(Street) (City/State)
CONTRACTOR: AIRF VALLEY HEATING & Cooling LICENSE NUMBER: ATRFVHT141OH
MAILING ADDRESS:
N. 521 Ella Rd.
PHONE NUMBER: 924-0018
(Zip)
Spokane, WA 99212
(Street) (City/State)
MECHANICAL WORK
DESCRIPTION
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
WOODSTOVE/INSERT'' .:;;
GAS WATER HEATER
GAS EQUIPMENT:<100,000.STU (INCLUDES:
GAS EQUIPMENT+100,000 BTU DUCTWORK)
GAS_PIPING;(EAOUTLET) : ;
BOILER/REFRIG 1-100M BTU
;BOILEFUREFRIG,101:4500M BTU :.::!; C:':',`:.r
BOILER/REFRIG 501-1,000M BTU'
:BOILER/REFRIG1.0001-1,7SOM BTU;°i;;';::;;?`.r::.
• BOILER/REFRIG +1,750M BTU
HEAT PUMP. & AIR CONDITIONER 0-3
HEAT PUMP & AIR CONDITIONER 3-15 TONS
HEAT PUMP,:&:'AIP,CO,N, DITIONEB 1530:TONS
HEAT PUMP & AIR CONDITIONER 30-50 TONS
:HEAT PUMP(&: IR, CONDITIONER:450:TONS:
VENTILATING FANS
EVAPORATIVECOOLERS '.,,.,
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
:TYPE II HOOD.. ,
CLOTHES DRYER
• GAS LOG
fMISCELLANEbUS,(NOT COVERED ELSEWHERE
UNLISTED GAS APPLIANCE <400,000 BTU
ULINSTED GAS APPLIANCE 5400,000 BTU
USED APPLIANCE <400,000 BTU
;USEDAPPLI,ANCE>400;000:BTU .:
AIR HANDLER <10,000 CFM
AIR.NANpLEFi>.10,000OFM;, ;.
NOTE: MINIMUM PERMIT FEE IS $35.00
i I
SIGNATURE
(Zip)
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
x 10.00 =
x 25.00 =
/1
x10.00 =
/0.CO
x 12.00 =
x 15.00 =
/
x 1.00 =
x 12.00 =
x20.00 =
x25.00 =
x 35.00 =
x60.00 =
x 12.00 =
x 20.00 =
x 25.00 =
x 35.00 =
x 60.00 =
x 10.00 =
x 10.00 =
x50.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 10.00 =
/: OV
x10.00 =
x 50.00 =
x100.00 =
x 50.00 =
x100.00 =
x 12.00 =
x 15.00 =
SUBTOTAL
$ //Oo
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
= $ 3 Li40
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675