1992, 09-21 Permit App: 92007884 Mechanical Fixtures06 2,q \\Oct9:1 ���
Q 1 5 L'� MECHANICAL PERMIT APPLICATION FORM
�� - B,l Information Workslitet
JOB STREET ADDRESS: . rao G lid n GIM? D)^ 0
CITY/STATE/ZIP: SSpOka. A 1.7 (N11. PARCEL NUMBER:
OWNER: �l%Vee //a u 0 e..r PHONE NUMBER: 9.2A -,:s -3.2V
MAILING ADDRESS:
(Street) (City/State)
CONTRACTOR: AIRE VALLEY HEATING & Cooling LICENSE NUMBER: URF.vHr141 OH
PI4ONE NUMBER: 924-0018
MAILING ADDRESS: N. 521 Ella Rd. Spokane, WA 99212
(Street) (City/State)
MECHANICAL WORKSHEET/FEE SCHEDULE
DESCRIPTION
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
WOODSTOVE/INSEI T
GAS WATER HEATER
GAS EQUIPMENT <100,000 BTU (INCLUDES ..
GAS EQUIPMENT +100,000 BTU DUCTWORK)
GAS PIPING (EAOUTETj....
BOILER/REFRIG 1-100M BTU
.......................................
BOI,LER!REFRI ..::.:::.:.:::..:.....
BOILER/REFRIG 501-1,000M BTU
BOILERIREFRIG 1,0001 1,7`50M BTU
BOILER/REFRIG +1,750M BTU
HEAT PUMP' & AIR CO DITIONER 0 TONS
HEAT PUMP & AIR CONDITIONER 3-15 TONS
HEAT PUMP & AIR CONDITIQNER 15 30 TONS';
HEAT PUMP & AIR CONDITIONER 30-50 TONS
NEAT PUMP & /SIR CONDITIONER;+50 TONS
VENTILATING FANS
EVAPORATIVE COOLERS
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
CLOTHES DRYER
RANGE
GAS LOG
MISGELI ANEOUS (NOT COVERED ELSEWHERE
UNLISTED GAS APPLIANCE<400,000 BTU
ULINSTED GASAPPLIANCE>400000 BTU •
USED APPLIANCE <400,000 BTU
USED APPLIANCE>400,000.BTU
AIR HANDLER <10,000 CFM
AIR HANDLER >10,000 CFM:;
M
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE
(Zip)
(Zip)
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
x 10.00 =
x 25.00 =
x10.00=
to or
x12.00 =
/... -
x 15.00 =
.4...
x 1.00 =
.L
x12.00 =
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 =
SUBTOTAL
$ Q2.11----
2YPLUS:
PLUS:PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL
FEE
PERMIT
DUE
= $ ¥(9 .0°
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675