1992, 03-17 Permit App: 92001595 Water Heater, PipingMECHANICAL PERMIT APPLICATION FORM
Information Worksheet , a
JOB STREET ADDRESS: 4 . / S // 7 m;s S d -
CITY/STATE/ZIP: 1 e.ha_d4/e , W '7 PARCEL NUMBER:
OWNER: T/! e r e$ a /10Nand PHONE NUMBER: 9.22 7-- )3 %(o
MAILING ADDRESS:
(Street)
CONTRACTOR: AIRE VALLEY HEATING & cooling
MAILING ADDRESS: N. 521 Ella Rd.
DESCRIPTION
(Street)
(City/State)
LICENSE NUMBER: AIREVHI1410H
PHONE NUMBER: 924-0018
Spokane, WA 99212
(City/State)
(Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
WOODSTOVEIINSPRT
GAS WATER HEATER
GAS EQUIPMENT <100,000BTU
GAS EQUIPMENT +100,000 BTU DUCTWORK)
GAS PIPING (EA OUTLET)
BOILER/REFRIG 1-100M BTU
BOILER/REFRI0l01- 500M'BTU
BOILER/REFRIG 501-1,000M BTU
BOILER/FRIG 1,0001 1, 50M BTU
... ............::
BOILER/REFRIG +1,750M BTU
HEAT PUMP & AIR CONDITIONER 0-S TONS . <'.
HEAT PUMP &AIR CONDITIONER 3-15 TONS
HEAT PUMP & AIR CONDITIONER' 15 30 TON
HEAT PUMP & AIR CONDITIONER 30-50 TONS
HEAT PUMP &AIR CONDITIONED; +50 TONS
VENTILATING FANS
EVAPORATIVECOOLERS>
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
TYPE II! H
CLOTHES DRYER
RANGE
GAS LOG
MISCELLANEOUS (NOT COVERED EL:SEWHERI
UNLISTED GAS APPLIANCE <400,000 BTU
..............................
ULINSTRD GAS APPLIANCE>400000 BTU
USED APPLIANCE <400,000 BTU
USED APPLIANCE >400,000
AIR HANDLER <10,000 CFM
AIR HANDLER10000 CSM.
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE 0,04 i
(Zip)
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
x 10.00 =
x 25.00 =
x10.00 =
x 12.00 =
x 15.00 =
x1.00 =
x 12.00 =
x20.00 =
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 =
x10.00 =
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 =
/
X10 "
1
/f-:
.
•
SUBTOTAL
$ 0 , prj
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
=$ .2 6, 00
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675