1992, 11-02 Permit App: 92009639 Mechanical Fixtures4520-, \ 'A .-.‘'.7-S--1-MECHANICAL F RM 9 z _ ` 3
des �o PERMIT O
- L `- _ 3 Information Worksheet O-73
JOB STREET ADDRESS: / S S. 9023 blQ h i'de to '5
CITY/STATE/ZIP: S DSC !Inlil PARCEL NUMBER:
OWNER: fi%n J S7'7 PHONE NUMBER: g26 D floes
MAILING ADDRESS: V
(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)
(City/State)
MECHANICAL WORKSHEET/FEE SCHEDULE
DESCRIPTION
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
WOODSTOVEII.NSERT.
GAS WATER HEATER
GAS EQUIPMENT <1;00,000 BTU (INCLUDES
GAS EQUIPMENT +100,000 BTU DUCTWORK)
GAS PIPING (EA OUTLET)
BOILER/REFRIG 1-100M BTU
BOILER/REFRIG.1Q14600M TU
BOILER/REFRIG 501-1,000M BTU
BOILER/IEFIRIG 1,0
iM 8`
BOILER/REFRIG +1,750M BTU
HAT..PU.MP &AIR CONDITIONER 0 $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 CONDITIONER +50
VENTILATING FANS
EVAPOI ATIVE;COOLERS
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
...:......................................
TYPE:11.;:H !.
..............................................
CLOTHES DRYER
...........................................
...............................................
GAS LOG
MISCELLANEOUS (N.OT COVERED ELSEWHERE
UNLISTED GAS APPLIANCE <400,000 BTU
•UL `INSTED GAS APPLIANCE 5400,000 BTU
USED APPLIANCE <400,000 BTU
USED APPLIANCE 00,000 BTU
AIR HANDLER <10,000 CFM
AIF HANDLER>10,000 CFM
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE
1,610,4
(Zip)
(Zip)
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
x 10.00 =
x 25.00 =
x10.00 =
l
/�✓
x 12.00 =
x 15.00 =
00 =
x 12.00 =
x 20.00 =
x 25.00 =
x 35.00 =
x 60.00 =
x 12.00 =
x 20.00 =
x25.00 =
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 =
4..2 �
2_ --"
•
SUBTOTAL
$ y e .
PLUS: PROCESSING FEE
02
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
= $ ,7 o;
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675