1992, 10-02 Permit App: 92008385 Mechanical FixturesL 5aO�o ��'l e_5�MECHANICALPERMITAPPLICATIONFORM "( D - SvS
�ei,D 057utl o , (o Information Worksheet
JOB STREET ADDRESS: S, /02/ L:7�' 7-ohn c.?. -To a.a
CITY/STATE/ZIP: -5totc a 2,114- • PARCEL NUMBER:
OWNER: 224 Y% ii/, iri. fl10-v/ PHONE NUMBER: 9.-2 r - S S oZ a.
MAILING ADDRESS:
(Street) (City/State)
CONTRACTOR: AIRE VALLEY HEATING & Cooling LICENSE NUMBER: ATREVHT141 OH
PHONE NUMBER: 924-0018
MAILING ADDRESS:
N. 521 Ella Rd.
(Zip)
Spokane, WA 99212
DESCRIPTION
(Street)
(City/State)
MECHANICAL WORKSHEET/FEE SCHEDULE
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
'W,OODSTOVE/INSERT
GAS WATER HEATER
GAS EQUIPMENTG100,000 BTU. (INCLUDES
GAS EQUIPMENT+100,000 •BTU DUCTWORK)
:GAS, PIPING (EA OUTLET). , •
BOILER/REFRIG 1-100M BTU
'BOILER/REFRIG.101 500M -BTU;::::` :!';::
BOILER/REFRIG 501-1,000M BTU
BOILER/REFRIG1.0001-1,750M'ET0"'; :
BOILER/REFRIG +1,750M BTU
•HEAT PUMP &,AIR:CONDITIONER;;0-3 TONS:
HEAT PUMP & AIR CONDITIONER 3-15 TONS
HEAT PUMP & AIR CONDITIONER,. 15-30 TONS
HEAT PUMP & AIR CONDITIONER 30-50 TONS
:HEAT:PUMP.& AIR CONDITIONERR:+50 TONS:.
VENTILATING FANS
EVAPORATIVE COOLERS ..:::...;::;,';;:< :'::;` :
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
TYPE II HOOD.s:
CLOTHES DRYER
RANGE`.
GAS LOG
MISCELLANEOUS (NOT COVERED'ELSEWHERE
UNLISTED GAS APPLIANCE <400,000 BTU
U,LINSTEDGAS APPLIANCE >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
jeczzom
(Zip)
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
x 10.00 =
x 25.00 =
x10.00 =
x 12.00 =
x15.00 =
x 1.00 =
x12.00 =
x 20.00 =
x 25.00 =
x 35.00 =
x 60.00 =
x12.00 =
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 =
x12.00 =
x 15.00 =
/
1.
/at °,..c.'--
jx
c2 -
SUBTOTAL
$ a2
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
p
=s r'? °j
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675