HomeMy WebLinkAbout1992, 08-06 Permit App: 92006133 Mehcanical FixturesMECHANICAL PERMIT APPLICATION FORM
Information Worksheet
JOB STREET ADDRESS: 3 7 0 S" S in eirG m ,)---t-
CITY/STATE/ZIP:
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CITY/STATE/ZIP: S�6,(�q /2-e,[. / zz,..,/).-. PARCEL FMBER:
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OWNER: Alt 06Fg don PHONE NUMBER: 9O2 $ - 3 0 4Y
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
DESCRIPTION
(Street)
(City/State)
MECHANICAL WORKSHEET/FEE SCHEDULE
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
t.
:a.::Y::??j:•`!{}i:.:t:Y .:: 2:: :ini.'f..:v::::i::Y ::::;::f 'I,.:iv
GAS WATER HEATER
GAS EQUIPMENT <100 000 BTU (INCLUDES
GAS EQUIPMENT +100,000 BTU DUCTWORK)
GAS PIPING'(EA 'f.'
BOILER/REFRIG 1-100M BTU
EOILEI /REF IG l Ol -SOOM B' U...
BOILER/REFRIG 501-1,000M BTU
BOILER!REFRIG.1,000i
BOILER/REFRIG +1,750M BTU
NEAT PUMP & AIR CONDITIONER
HEAT PUMP & AIR CONDITIONER
NEAT PUMP $ AIP CONDITIONER
HEAT PUMP & AIR CONDITIONER
3-15 TONS
TONs
30-50 TONS
VENTILATING FANS
B A AIV
T...
..m•
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
..............................
TYPE II HOOD:<' .
CLOTHES DRYER
GAS LOG
MISCELLANEOUS;(NpT COVERED EL'SWHEfE
UNLISTED GAS APPLIANCE <400,000 BTU
ULINSTED GAS APPLIANCE>400,000 BTU
USED APPLIANCE <400,000 BTU
USED APnIANCE 0q 000 BTU•
;
AIR HANDLER <10,000 CFM
,A
1F .$:
0
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE
(Zip)
(Zip)
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
x 10.00 =
x 25.00 as
/
X10.00=
x 12.00 =
x 15.00 =
x 1.00 =
x 12.00 =
x 20.00 =
x 25.00 =
x35.00 =
x60.00 =
x 12.00 =
/O ''
/
/,2 °_
eg., (')
/
02°-!-
/02°-!-
x
x 20.00 a
x25.00 =
x35.00 =
x 60.00 =
x10.00 as
x 10.00 =
x50.00 =
x 10.00 =
x 10.00 =
x10.00 =
x10.00 =
x 10.00 =
x 50.00 =
x100.00 =
•
• •
x 50.00 =
x100.00 =
x 12.00 =
x 15.00 =
SUBTOTAL
$ ,36.. GO
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
_ $ 1.00
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675