1993, 01-14 Permit App: 93000196 Mechanical FixturesSDA a ���� L -A -7
S l y 6 3
\k JOB STREET ADDRESS: g9/0 6-,
MECHANICAL PERMIT APPLICATION FORM
CITY/STATE/ZIP:/�
OWNER: ACA
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Inf rmation Worksheet
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PARCEL t UMBER:
PHONE NUMBER: -
MAILING ADDRESS:
(Zip)
(Street)
(City/State)
CONTRACTOR: AIRE VALLEY HEATING & cooling LICENSE NUMBER: AIREVHI1410H
PHONE NUMBER: 924-0018
MAILING ADDRESS: N. 521 Ella Rd. Spokane, WA 99212
DESCRIPTION
(Street)
(City/State)
MECHANICAL WORKSHEET/FEE SCHEDULE
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
WOODSTOVE/INSE 1
.......................................................
........................................................
GAS WATER HEATER
GAS QUIPMENT <100,0001 TU (INCLUDES
GAS EQUIPMENT +100,000 BTU DUCTWORK)
GAS :PIPING (EA OUTL
BOILER/REFRIG 1-100M BTU
BOIL R/REFRIG 10. 500M I TU'
BOILER/REFRIG 501-1,000M BTU
•BOILER/REFRIG 1,000 1,750M
BOILER/REFRIG +1,750M BTU
HEAT PUMP & AIR CONDITIONED 0.3 TONS
HEAT PUMP & AIR CONDITIONER 3-15 TONS
.HEAT PUMP & AID CONDITIONED i5 30 TONS
HEAT PUMP & AIR CONDITIONER 30-50 TONS
HEAT PUMP & AIR COND. T.I..O1
VENTILATING FANS
APORATIVE'COOLERS
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
CLOTHES DRYER
GAS LOG
:...:................................................
MISCEL .ANEOUS (NOT.COVEREI ELSEWI-
UNLISTED GAS APPLIANCE <400,000 BTU
ULINSTED GAS APPLIANCE>400,000 RTU;
USED APPLIANCE <400,000 BTU
USED APPLIANCE >400 000 BTU'
AIR HANDLER <10,000 CFM
I .:.ANDLER>10,000 cFM
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE
(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 =
x12.00=
x 20.00 =
x 25.00 =
x35.00 =
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 =
x 15.00 =
1
('D 4i ---
a (6"
.)
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f
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•
•
•
I
SUBTOTAL
$ 3 '�
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
DUE
`zFEE
= $ b 1
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
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