1992, 04-15 Permit App: 92002513 Mechanical FixturesL. 11 i 6 -
og 9-1
JOB STREET ADDRESS:
CITY/STATE/ZIP: .S ok
OWNER: Pon na
MAILING ADDRESS:
CONTRACTOR: AIRE VALLEY HEATING E. cooling
MAILING ADDRESS: N. 521 Ella Rd. Spokane, WA
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MECHANICAL PERMIT APPLICATION FORM
Information Worksheet
f. S'/S jjha. G¢
crh1i� 9 JR PARCEL NUMBER:
a r� z PHONE NUMBER:
9a -D513
.23$
77,2 „ 2 - 1 .23
(Street)
(City/State)
LICENSE NUMBER: AIREVHI1410H
PHONE NUMBER: 924-0018
DESCRIPTION
(Street)
99212
(City/State)
(Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
:WOODSTOVE/INSERT
GAS WATER HEATER
GAS EQUIPMENT ..5100,000 STU (INCLUDES
GAS EQUIPMENT+100,000 BTU DUCTWORK)
GAS PIPING(EA.OUTLET): :`' :
BOILER/REFRIG 1-100M BTU
130ILER/REFRIG:.101=500M BTU
BOILER/REFRIG 501-1,000M BTU
BOILER/REFRIG 1;0001-1,750M BTU'.;.'
BOILER/REFRIG +1,750M BTU
HEAT PUMP.&AIR CONDITIONER 0-3 TONS
HEAT PUMP & AIR CONDITIONER 3-15 TONS
• .HEAT. PUMP &:'AIR9ONDITIONER:15-30 TONS
HEAT PUMP & AIR CONDITIONER 30-50 TONS
HEAT;,P,UMP &,AIR;,CONDITIONER +50:,TONS„:
VENTILATING FANS
:EVAPORATIVECOOLERS:-
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
TYPE II HOOD
CLOTHES DRYER
.RANGE
GAS LOG
MISCELLANEOUS, (NOT COVERED ELSEWHERE
UNLISTED GAS APPLIANCE <400,000 BTU
ULINSTED GAS AP,PLIANCE>400,000 BTU.
USED APPLIANCE <400,000 BTU
USED APPLIANCE >400,000 BTU; _ . :
AIR HANDLER <10,000 CFM
'AIR HANDLER>10,000 CFM
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE 0 r�
(Zip)
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
x 10.00
x 25.00
x 10.00
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
x10.00
x 10.00
x 10.00
x 50.00
x100.00
x 50.00
x100.00
x 12.00
x 15.00
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=
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=
=
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j
/,2 0&-
/
/ v�
SUBTOTAL
$ /LI.iV
PLUS: PROCESSING FEE
+ $ 25 00
EQUALS: TOTAL PERMIT
FEE DUE
=$ 3 y D
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675