1993, 02-02 Permit App: 93000548 Mechanical FixturesIX J
�-0 2 , < 7, e MECHANICAL PERMIT APPLICATION FORM
1)1 I i 6s-r���s �# / Information Worksheet
`t 'f l7 b .
JOB STREET ADDRESS: 5' • Q D 6- / )/ / `S IAA, GT
CITY/STATE/ZIP: Spol'Cvn-2y (Al''4 ' PARCEL NUMBER:
OWNER: 5Dd /laid Iloq .p r -r PHONE NUMBER: 9a 4" - SO y ?
MAILING ADDRESS: V
`7 2_ (7Y
(Street) (City/State)
CONTRACTOR: AIRE VALLEY HEATING & cooling LICENSE NUMBER: AIREVHI1410H
PHONE NUMBER:
MAILING ADDRESS: N. 521 Ella Rd. Spokane, WA 99212
(Street) (City/State)
MECHANICAL WORK
DESCRIPTION
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
y1l0$14.OVEMIP
GAS WATER HEATER
GAS EQUIPMENT <100,000 BTU (INCLUDES
GAS EQUIPMENT +100,000 BTU DUCTWORK)
GAS; PIPING.(EA OUTLE1J
BOILER/REFRIG 1-100M BTU
EOILEF /REFRIG
BOILER/REFRIG 501-1,000M BTU
.......................
BOILER/REFRIG.1
BOILER/REFRIG +1,750M BTU
HEA `PUMP &AIB CONDITIONER0--S'TONS`<
HEAT PUMP & AIR CONDITIONER 3-15 TONS
•
HEAT PUMP & MR ONDITIONE i 15
HEAT PUMP & AIR CONDITIONER 30-50 TONS
4.:AI.t O:Nt IITIONE1 5 :.TONS .
•
•
VENTILATING FANS
EVAPORATIVE COOLE
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
.rweMru,a t:.r.i.•t s�,rs•:o-:•:::a::ic:::a:::;:•:i•::!:•::`•<<i<t%>;:%�`i2z:,ziT<:::Y::i::::;:<8!iz:::i;:
CLOTHES DRYER
.............................................
............................. .
GAS LOG
MISCELt ANEOt S (NOT COVERED ELSEWH
UNLISTED GAS APPLIANCE <400,000 BTU
ULINSTED GAS APPLIANCE>400,000 BT•
U.
USED APPLIANCE <400,000 BTU
USED APPLIANCE•
AIR HANDLER <10,000 CFM
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE d�� GZ-fes?
924-0018
(Zip)
(Zip)
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
x 10.00 =
x 25.00 =
x10.00=
x12.00 =
/
/l>2-
/.2.a
x 15.00 =
x 1.00
x 12.00 =
x 20.00 =
x 25.00 =
x 35.00 =
x 60.00 =
x12.00=
(,)-
(
02 /J
/02='
x20.00 =
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 =
x 10.00 =
x 50.00 =
x100.00 =
x 50.00 =
x100.00 =
x 12.00 =
x 15.00 =
.
•
.
SUBTOTAL
$ .3 6 '0%
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
42
= $ (p
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675