1992, 01-15 Permit App: 92000259 Mechanical FixtureX5411- X101
611
�aV `as.) L t
JOB STREET ADDRESS:
MECHANICAL PEPMIT APPLICATION FORM a & Sa\
Information Worksheet
02 7o 2 S. (1 n t"
CITY/STATE/ZIP: . 5;06((rr ta.e
R 0 i �Q
OWNER:
77 5,-)
PARCEL NUMBER:
PHONE NUMBER:
925'
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
(Zip)
(City/State)
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:OIJtLEn :.:...
BOILER/REFRIG 1-100M BTU
BOILER/REFRIG 101=500M'BTU ,:.:-
BOILER/REFRIG 501-1,000M BTU
:BOILER/11EF IG 1,000i-i,750M BTU •
BOILER/REFRIG +1,750M BTU
HEAT:PUMP.&AIR:CONDITIONER-0-3 TONS
HEAT PUMP & AIR CONDITIONER 3-15 TONS
HEAT.PUMP & AIR CONDITIONER .16-30:TONS':
HEAT PUMP & AIR CONDITIONER 30-50 TONS
HEAT PUMP &'AIR_CONDITIONER +50 TONS
VENTILATING FANS
EVAPORATIVE COOLERS::'.:.:.`:::;.:
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
CLOTHES DRYER
GAS LOG
:'MI.SCELLANEOUS(NOTCOVERED ELSEWHERE_
UNLISTED GAS APPLIANCE <400,000 BTU
'.ULINSTED GAS`APPLIANCE 5400000 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
SIGNATUREO
(Zip)
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
x 10.00 =
x 25.00 =
x 10.00 =
x 12.00 =
x15.00=
x 1.00 =
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 =
x10.00 =
x 10.00 =
x 10.00 =
x 50.00 =
x100.00 =
x 50.00 =
x100.00 =
x 12.00 =
x 15.00 =
7
/,s'°�
•
SUBTOTAL
$ /f'l
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
= $ yo,00
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675