1993, 05-06 Permit App: 93003224 Mechanical Fixtures�i (-1 `2) MECHANICAL PERMIT APPLICATION FORM t
Ed�CA
�,� a '�i\ Information Worksheet
JOB STREET ADDRESS:_I Li°l i CQ 60014-1 &ices -S 1 AC- T
CITY/STATE/ZIP:\\Vc"cA4 2 ( (.�), ',�OCe PARCEL NUMBER:
OWNER: vt'1-1 v I( PHONE NUMBER:
MAILING ADDRESS:
(Street) (City/State)
CONTRACTOR: AIRE VALLEY HEATING & Cooling LICENSE NUMBER: ATRF.VHT141 nu
PHONE NUMBER: 924-0018
MAILING ADDRESS:
N. 521 Ella Rd.
Spokane, WA
99212
(Zip)
(Street)
MECHANICAL WORK
DESCRIPTION
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
GAS WATER HEATER
GAS £QUIPME T <100,000 TU (INCLU ES
GAS EQUIPMENT +100,000 BTU DUCTWORK)
.:.::.::.......
BOILER/REFRIG 1-100M BTU
..._..:......_..........._......................................................... .
BOILER/REFRIG 501-1,000M BTU
EOI ER/fE
BOILER/REFRIG +1,750M BTU
HEATPUMP,;AIR:CONII_TIONEH' 0: TONS_>.
HEAT PUMP & AIR CONDITIONER 3-15 TONS
HEA1` PUM ' AI NDITIONER 15 0 TONS
HEAT PUMP & AIR CONDITIONER 30-50 TONS
HEAT?UMP &.SIR CONDITIONER: +55 TONS
VENTILATING FANS
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
CLOTHES DRYER
GAS LOG
<MISCELLANEt US (NOT COVERED ELSEWHE
UNLISTED GAS APPLIANCE <400,000 BTU
E1LINSTED GASAPPLIANCE5400,0:00 BTU
USED APPLIANCE <400,000 BTU
AIR HANDLER <10,000 CFM
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE
q7-eti-e
(City/State)
(Zip)
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
x 10.00 =
x25.00 =
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 25.00 =
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 =
x 15.00 =
(
10
lS
3
3
.
•
•
SUBTOTAL
$ x8.00
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
= $ S3'°°
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675