1993, 03-11 Permit App: 93001409 Mechanical Fixtures453- 1I(( = 95- IAD/
5 C.--(( MECHANICAL PERMIT APPLICATION FORM
orkAS PI 1 n (3✓(Information Worksheet -73 of
`t
JOB STREET ADDRESS: ,_• /
�' lr 67 � ` 6'
CITY/STATE/ZIP. C/)/.cli , , /4'7/1' PARCEL NUMBER:
."�'-
OWNER: (;)//-(�, %7 / f. , <7 PHONE NUMBER: V' 1, %U
MAILING ADDRESS: lr/ry' el. 6/
(Street) (City/State)
CONTRACTOR: AIRE VALLEY HEATING & cooling LICENSE NUMBER: AIREVHI1410H
PHONE NUMBER: 924-0018
MAILING ADDRESS: N. 521 Ella Rd. Spokane, WA 99212
(Street) (City/State)
MECHANICAL WORK
DESCRIPTION
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
WOODSTOVE!INSERT..
GAS WATER HEATER
.GAS EQUIPMENT <100,00013TU;(INCLUDES
GAS EQUIPMENT +100,000 BTU DUCTWORK)
GAS PIPING (EA •OUTLET)
BOILER/REFRIG 1-100M BTU
BOILER/REFRIG 100.500M BTU'
BOILER/REFRIG 501-1,000M BTU
SOILER/I EFRIG 1,►0001 1,750M ETU ;> <> :' '
BOILER/REFRIG +1,750M BTU
HEAT PUMP_ & AIRCONDITIONER O TONS
HEAT PUMP & AIR CONDITIONER 3-15 TONS
HEAT PUMP' & AIR: CONDITIONE•R 15 00� TONS
HEAT PUMP & AIR CONDITIONER 30-50 TONS
VENTILATING FANS
EVAPORATIVE COOLERS'
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
CLOTHES DRYER
RANGE
GAS LOG
MISCELLANEOUS (NOT COVERED ELSEWHF
UNLISTED GAS APPLIANCE <400,000 BTU
ULINSTED GAS APPLIANCE>400,000 BrU
USED APPLIANCE <400,000 BTU
USED APPLIA. NCE X00+000 BTU':
AIR HANDLER <10,000 CFM
AI{ HANDLER>10000 GEM >::.::
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE
(Zip)
(Zip)
r NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
x 10.00 =
x 25.00 =
5
x10.00 =
, /;% vC'
x 12.00 =
/ c�'�'
x 15.00 =
x 1.00
c �'
x 12.00 =
x 20.00 =
x 25.00 =
x 35.00 =
x 60.00 =
x 12.00 =
x 20.00 =
x 25.00 =
x35.00 =
x 60.00 -
x 10.00 =
x 10.00 =
x 50.00 =
x100 0=
x 10.00 =
.
•
•
x 10.00 =
••
x10.00 =
x 10.00 =
x 50.00 =
x100.00 =
x 50.00 =
x100.00 =
x 12.00 =
x15.00 =
SUBTOTAL
$ �� �` w
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
_ $ y/ c/v
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675