1992, 11-02 Permit App: 92009628 Mechanical FixturesMECHANICAL
JOB STREET ADDRESS: ( / ,2 S 6.
CITY/STATE/ZIP: S% ¢/�U�h,-
OWNER: r (/ , S) p *(y.4
clad -9(02,a drim62, S
PERMIT APPLICATION FORM lD ��
Inrormath)n Worksheet 7J%
hick/nnom y 3a5
PARCEL NUMBER: 3s -0-3c. )92S\
q ,)-JUn PHONE NUMBER:
MAILING ADDRESS:
(Street) (City/State)
CONTRACTOR: AIRF VALLEY HEATING & cooling LICENSE NUMBER: AIREVHI1410H
PHONE NUMBER: 924-0018
MAILING ADDRESS: N. 521 Ella Rd. Spokane, WA 99212
(Zip)
DESCRIPTION
(Street)
(City/State)
MECHANICAL WORKSHEET/FEE SCHEDULE
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
GAS WATER HEATER
GAS EQUIPMENT<100,000 ETU (INCLUDES: -..
GAS EQUIPMENT+100,000 BTU DUCTWORK)
'GAS.PIPING' (EA.OUTLET)
BOILER/REFRIG 1-100M BTU
.BOILER/REFRIG'101-500M BTU
BOILER/REFRIG 501-1,000M BTU
BOILER/REFRIG 1,0001-1,750M
BOILER/REFRIG +1,750M BTU
HEAT.PUMP &AIR CONDITIONER 043.TONS
HEAT PUMP & AIR CONDITIONER 3-15 TONS
•:HEAT.PUMPSAIR _OONDITIONER15-30.;TONS_:_
HEAT PUMP & AIR CONDITIONER 30-50 TONS
;HEAT;IP..UMP'& AIR CONDITIONER +50;,TONS.:,;`;;;
VENTILATING FANS
EVAPORATIVE COOLERS°-.. -.
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
TYPEII:HOOD
CLOTHES DRYER
RANGE
GAS LOG
;MISCELLANEOUS (NOT COVERED. ELSEWHERE
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
:AIR HANDLER >10,000 CFM -
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE &Y, cg. G/ilj/t
(Zip)
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT -
x 10.00 =
x 25.00 =
x10.00 =
x12.00 =
x 12.00
x 15.00 =
x 1.00 =
x12.00 =
x 20.00 =
x 25.00 =
x 35.00 =
x 60.00 =
x 12.00 =
x 20.00 =
x25.00 =
x 35.00 =
x 60.00 =
x 10.00 =
x 10.00 =
x50.00 =
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 =
/p, -2----
/c29 -2-
-x
c2
07-
2x
SUBTOTAL
$ 02 i
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL
FEE
PERMIT
DUE
=s Vg i
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675