1992, 10-09 Permit App: 92008651 Mechanical FixturesMECHANICALIPERMIIT on WPP KATION FORM ,,.
JOB STREET ADDRESS: 02.2 /V. /17 G Ci. b e.
CITY/STATE/ZIP: S/U2 204--a204--PARCEL NUMBER:
OWNER: ,iia f a Gl1.1- V e-7% PHONE NUMBER:
MAILING ADDRESS:
4 E. 3 i,3.
l
/ //
(Street) (City/State)
CONTRACTOR: AIRE VALLEY HEATING & Cooling LICENSE NUMBER: ATRFVHT141 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)
:WOOOST..VI.
SE
GAS WATER HEATER
GAS EQUIPMENT <100,000>STU (INCLUDES
GAS EQUIPMENT +100,000 BTU DUCTWORK)
:..................................................................................................................
GAS. PIPING.(EA OUTLI* Li....::
BOILER/REFRIG 1-100M BTU
SOI .ER/REFRIG 1O1i-SOOM BTU:. ``'`.. .
.........................:........................................................................................:.......:.
BOILER/REFRIG 501-1,000M BTU
SOLER/REI=RIG 1,0O 1 1.750M SSU...
BOILER/REFRIG +1,750M BTU
HEAT PUMP & AI.R, CONDITIONER 0 -3 TQNS
HEAT PUMP & AIR CONDITIONER 3-15 TONS
HEAT PUMP & AIR C Nf !TIONER 15-30 TONS
HEAT PUMP & AIR CONDITIONER 30-50 TONS
HEAT PUMP & AIF CONDITIONER +50 TQNS...'..:.
VENTILATING FANS
........... .
EVAPORATIVE; COOLERS :............ .... .
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
TYPE II HOOD
CLOTHES DRYER
GAS LOG
MISCELLANEOUS :t. :.O.VgREVg0g.WHOE
UNLISTED GAS APPLIANCE <400,000 BTU
ULINSTED GAS APPLIANCE 5400,000: BTU
USED APPLIANCE <400,000 BTU
USED AP'LIANCE >400,000:iBTu
.::...:...............:...............:........:.:.........:..........:.............................::...........:..:.
AIR HANDLER <10,000 CFM
AIR HANDLER >10,000
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE
&L.( Au.,
(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 =
x 20.00 =
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 =
x 50.00 =
x100.00 =
x 12.00 =
x 15.00 =
f
i
/-Z 64_/'
07-
�z- a
SUBTOTAL
$ a.2 y
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
= $ y
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675