1992, 10-26 Permit App: 92009285 Mechanical Fixturesv`h cia)c9
MECHANICAL PERMIT APPLICATION FORM
Information Worksheet
JOB STREET ADDRESS: 35 /oZ S. Me l i Ssc,
1
CITY/STATE/ZIP: Sljv/'d�n 2d4
OWNER: /L/e d Pan -tai )-
PARCEL NUMBER:
PHONE NUMBER: 7.2/ - 02,,2/
MAILING ADDRESS:
(Street) (City/State)
CONTRACTOR: AIRE VALLEY HEATING & Cooling LICENSE NUMBER: ATRFVFTT141 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)
GAS WATER HEATER:::::::.......................................................
GAS EQU!PM NT <100,000 BTU (INCLUDES
GAS EQUIPMENT +100,000 BTU DUCTWORK)
BOILER/REFRIG 1-100M BTU
BOILER/REFRIG 501-1,000M BTU
BOILER/REFRIG +1,750M BTU
Hr ATP(lMP Arlt CA OITION:EI
HEAT PUMP & AIR CONDITIONER 3-15 TONS
;HEAT:PUM & AIR.CONDITIONER
HEAT PUMP & AIR CONDITIONER 30-50 TONS
HEAT;PUMP & #IR CONDITIONER +50 TONS ..
VENTILATING FANS
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
CLOTHES DRYER
GAS LOG
MISGSLLANEOUS (NOT. COV) RED SEWF ERE
UNLISTED GAS APPLIANCE <400,000 BTU
;ULINSTED GAS APPLIANCE>400,000 BTU
USED APPLIANCE <400.000 BTU
USED APPLIANCE ?400,000 BTU
AIR HANDLER <10,000 CFM
........................................................................................................................
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE
ivayLeit,
(Zip)
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
x 10.00 =
x 25.00 =
x 10.00 =
x12.00 =
/
7-2i
x 15.00 =
x 1.00 =7
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 =
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 =
°,---
SUBTOTAL
$ /2. o°
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
= $ %.? Q '�
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675