1992, 09-22 Permit App: 92007902 Mechanical FixturesMECHANICAL PERMIT APPLICATION FORM
r( Information Worksheet
JOB STREET ADDRESS: c> .,2 & IS Pin e.5
CITY/STATE/ZIP: .CITY/STATE/ZIP: Sia.94- jes, v-11- •
OWNER: Nei' //andptc!(Scri
PARCEL NUMBER:
PHONE NUMBER: ?ask- 40/8
MAILING ADDRESS:
(Street) (City/State)
CONTRACTOR: AIRE VALLEY HEATING & Coo) ing LICENSE NUMBER: ATRFVHT141 DIT
PHONE NUMBER: 924-0018
MAILING ADDRESS:
DESCRIPTION
N. 521 Ella Rd.
(Street)
(Zip)
Spokane, WA
(City/State)
99212
MECHANICAL WORKSHEET/FEE SCHEDULE
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
WOODSTOVE/INSERT_ .
GAS WATER HEATER
GAS EQUIPMENT:<100,000 BTU (INCLUDES
GAS EQUIPMENT+100,000 BTU DUCTWORK)
GAS:PIPING.(EA:OUTLET)•
BOILER/REFRIG 1-100M BTU
BOILER/REFRIG101=500M
BOILER/REFRIG 501-1,000M BTU
BOILER/REFRIG:1,0001 1,750M BTU;:.
BOILER/REFRIG +1,750M BTU
HEAT PUMP &AIR CONDITIONER 0-3 TONS
HEAT PUMP & AIR CONDITIONER 3-15 TONS
HEATPUMP:&AIR CONDITIONER 15-30 TONS
HEAT PUMP & AIR CONDITIONER 30-50 TONS
HEAT PUMP A' AIR.CONDITIONER +.SO TONS'::; ;;; •;' >'' is
VENTILATING FANS
EVAPORATIVE COOLERS'
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
TYPE II_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
SIGNATUREdL
(Zip)
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
x 10.00 =
x 25.00 =
x10.00=
/0-
-
02
x 12.00 =
/s -
x 15.00 =
x 1.00 =
x 12.00 =
x 20.00 =
x 25.00 =
x 35.00 =
x 60.00 =
x12.00=
x 20.00 =
x25.00 =
x 60.00 =
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 =
x50.00 =
a °�
/�----
x1000=
x 50..00 =
x100.00 =
x 12.00 =
x 15.00 =
SUBTOTAL
$ 3 6
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
= $ b / -
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675