1992, 06-11 Permit App: 92004262 Mechanical FixturesLi rL
- d
‘-x'IMECHANICAL PERMIT APPLICATION FORM
C` - 5 j' Information Worksheet (c1
JOB STREET ADDRESS: . % 6,2-•o )27a h e 77La
CITY/STATE/ZIP:
OWNER: MI' SCA !V )j a s
PARCEL NUMBER:
PHONE NUMBER:
MAILING ADDRESS:
(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)
;;W40dSTir7, �IINSB.`i' ....:. > ::.. <.'...p•"loirimpopso.1:
GAS WATER HEATER
GAS EQUIPMENT x100,00,0 STU. (INc UDES
GAS EQUIPMENT +100,000 BTU DUCTWORK)
OAS PIPINC:I~ •A t UTLBT)
............. ............: .
BOILER/REFRIG 1-100M BTU
•B
: ; . L>*R/REPRIG101--5��M •
BOILER/REFRIG 501-1,000M BTU
:SOILER/RBPRIG 0001- ,7`50M:B'•
TU.
BOILER/REFRIG +1,750M BTU
NEAT PUMP' & AIR CONDITIONER 0--S' TONS => > <<>> <
HEAT PUMP & AIR CONDITIONER 3-15 TONS
•:NEAT:PUMP & AIR. CONDITI INE X15
HEAT PUMP & AIR CONDITIONER 30-50 TONS
HEAT"PUMP;& AIRCONDITION•ER +50T•
ONS
VENTILATING FANS
:E
A.: ATI. y
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
CLOTHES DRYER
.::.::,...................................
RNG
A
GASLOG;;>;.;;............................................................................
:
MISCBLLANE.pg§ (N07,COVI=RED >*I SEWH '
UNLISTED GAS APPLIANCE <400,000 BTU
ULIN$TED GAS APPLIANCE O0,000,0T•U
USED APPLIANCE <400,000 BTU
USED APPLIANCE X400,000 STU
AIR HANDLER <10,000 CFM
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE 4,94/17ari
(Zip)
(Zip)
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
x 10.00 -
x 25.00 =
/
x10.00-
x12.00=
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 =
x60.00 -
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 =
/D'-2-
/.2°'
a=
•
•
•
• .
x 50.00 =
x100.00 =
x 12.00 =
x 15.00 -
SUBTOTAL
$ .2, y, ov
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
_$ yy, Cc)
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675