1992, 12-14 Permit App: 92010921 Mechanical Fixtures0.5254.1 toD9
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MECHANICAL PERMIT APPLICATION FORM
Information Worksheet
JOB STREET ADDRESS: // 2.5 C _.' . .4..e/,1 0 r q
CITY/STATE/ZIP: S/00ka,ā 'Lā/9- . PARCEL NUMBER:
OWNER: trOhri &50 2 u / o PHONE NUMBER: 9,-,-7- %I`/01-.
MAILING ADDRESS:
927
loyal
1/LLL
(Street) (City/State)
CONTRACTOR: AIRE VALLEY HEATING & cooling LICENSE NUMBER: AIREVHI1410H
PHONE NUMBER: 924-0018
MAILING ADDRESS: N. 521 Ella Rd. Spokane, WA 99212
(Street)
MECHANICAL WORK
DESCRIPTION
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
WOORSTOVE/INSERT ;; : ;._..::::;;,,.
GAS WATER HEATER
GAS EQUIPMENT <100,000;BTU(INCLUDES <`;:':..
GAS EQUIPMENT+100,000 BTU DUCTWORK)
GAS; PIPING (EA
BOILER/REFRIG 1-100M BTU
BOILER/REFRIG 101.409At BTU
BOILER/REFRIG 501-1,000M BTU
BOILERIREFRIG 1 00011 750M $11
BOILER/REFRIG +1,750M BTU
HEAT.PUMP & AIR:CONDITIONER"0-3: TONSr:`:'::`.::
HEAT PUMP & AIR CONDITIONER 3-15 TONS
ā¢:HEAT PUMP[&AIR CONDITIONER: 15=30 TONS;; :;S?:'
HEAT PUMP & AIR CONDITIONER 30-50 TONS
:HEAT PUMP:&;AIR CONDITIONER+50:TONS.`
VENTILATING FANS
:EVAPORATIVE COOLERS; ..'...:::.r:'.;,:;<i:..
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
TYPE II`HOOD,
CLOTHES DRYER
RANGE.::;.`.>'.
GAS LOG
MISCELLANEOUS(NOTCOVEREDELSEWHERE
...............
UNLISTED GAS APPLIANCE <400,000 BTU
ULINSTED GAS APPLIANCE>400,000:,BTU;::
USED APPLIANCE <400,000 BTU
USED. APPLIANCE S400,060
AIR HANDLER <10,000 CFM
AIR HANDLER:710;000 CFM
- (City/State)
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE/, GULf.G42/1
(Zip)
(Zip)
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
x 10.00 =
x 25.00 =
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 =
x20.00 =
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 =
/
19
I
/ā2
_2
4 02
SUBTOTAL
$ y
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
=$ y9
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675