1992, 10-09 Permit App: 92008529 Mechanical FixturesJOB STREET ADDRESS:
MECHANICAL PERMIT APPLICATION FORM
Information Worksheet
S. /02-// A2abt`n hood
1.1 .
CITY/STATE/ZIP: S eadsv.,PARCEL NUMBER: /-4C)� .►�?,>-- �
OWNER: V a UG lifer is )2ta. PHONE NUMBER: 9.2 - 7_7
MAILING ADDRESS:
(Street) (City/State)
CONTRACTOR: AIRE VALLEY HEATING & Cooling LICENSE NUMBER: ATRFVHT141 nH
PHONE NUMBER: 924-0018
MAILING ADDRESS: N. 521 Ella Rd.
(Zip)
Spokane, WA 99212
DESCRIPTION
(Street)
(City/State)
MECHANICAL WORKSHEET/FEE SCHEDULE
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
WOGQSTOV. E �IIN .�aT::�<:><>>�<:`:::>::>
GAS WATER HEATER
GAS EQUIPMEN d00,000 BTU (INCLUDES
GAS EQUIPMENT +100,000 BTU DUCTWORK)
GAS PIPING (EA OUTt*
BOILER/REFRIG 1-100M BTU
BOILER/REFRIG 501-1,000M BTU
BOILER/ i* I IQ I,000i.4,
BOILER/REFRIG +1,750M BTU
HOoPOMPii&AIRgONOMNEf
HEAT PUMP & AIR CONDITIONER 3-15 TONS
HEAT PUMP & AIR GOND iC NER i5- 3 TONS
HEAT PUMP & AIR CONDITIONER 30-50 TONS
MEAT RUMP & A'IR CONDITIONER +50:TONS
VENTILATING FANS:::::::..................................................................
.................................................................
EVAPORATIVE COOLfS
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
p
CLOTHES DRYER :::::::........................................................................
..................................................................
GAS LOG
MISCELLANEOUS (NUT COVERED ELSEWHERE
UNLISTED GAS APPLIANCE <400,000 BTU
UI INSTED GAS APPLIANCE:>400.000 BTU
..:........:.::.... .......................::......:............:.:.........
USED APPLIANCE <400,000 BTU
USED APPLIANCE >400,000 BTU
AIR HANDLER <10,000 CFM
Alfa HANDLER>10,000 CFM.:.
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE
(Zip)
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
x 10.00 =
x 25.00 =
x10.00 =
x 12.00 =
x 15.00 =
x 1.00 =
x 12.00 =
x 20.00 =
x 25.00 =
x 35.00 =
x 60.00 =
x 12.00 =
x 20.00 =
x25.00 =
x 35.00 =
x60.00 =
x 10.00 =
x 10.00 =
x 50.00 =
x 10.00 =
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 =
l
/p°'
/
/,2 ate%
.2,
-2„ °1
•
SUBTOTAL
$ ,2v --
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
=$ 7? i
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
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