1994, 01-04 Permit App: 94000030 Mechanical Fixtures . MECHANICAL r� -�,�.Y APPY.ICATION 9/— cc 3 0
PROJECT ADDRESS: /i i
•
OWNER: 4. 1 1 _ k11 • i...____R. PHONE:
MAILING ADDR 0•: / 0 an F. g ° n J-efLk...),?c,.-(.T, i 00,4E1
(street) V ( lty/state) (zip)
CONTRACTOR: AIRE VALLEY HEATING AND COOLING LICENSE: AIREVHI141OH
PRONE: q24_nn1 R
MAILING ADDRESS: 521 N Ella Spokane WA 99212
(street (city/state) (sip)
■ -- _
im FUEL BURNING APPLIANCE .et<ioo,000 =MI • MEMO T ' a
Mfr FUEL BURNING APPLIANCE >looAoo
I'M � r $15 • t _
tM i N gk :,i, -i :i : i -r` ,l-t • - (2 =ar 000,000 ` s $50 . 1
' 4
.. r1'Pn_I :ED FUEL BTJR2 arta AM AN' ZC >4ao ripo . $100 - la
� USED APPLIANCE(Must meet WSE 's min.AFUE rating) a or<400,00o f $50 . r . Si
7)7 USIDP
AP I.TANCE(Must meet WSW*min.AFUE Ming) 400,000 A $100 _ a
7,:.1,, BOILER/REFRIGERATION 1-100MMU . $12 - r
4i1.1,BOIIER/REFRIGERATION101—SOOM BTU . $20 - T
4 BOILER/REFRIGERATION
$01-1.000MH'PtJ : $25 - s
T? BOILER/REFRIGERATION 1,001.1,7SOM BTU . $3S . 1
BOILER/REFRIGERATION +t.7scM BTU ,� $60 . •
is'%�n
� :GM LOG,GAS INSERT,AND/OR GAS FIREPLACE -
a $10 T
'L _, RANGE - . $10 . 1
. DRYER - . $10 - r
FUEL BURNING WATER HEATER
al U MISCELLANEOUS FUEL BURNING APPLIANCE ' - . $10 . r
IA GAS PIPING(ea.outlet) a1-.Q1
0- • DUCT SYSTEMS - . $10 . T
7;a. - a $10 VENTILATING FANS -- -
b AIR HANDLER(DOES NOT include duct systems) =or(10,000 t M . $12 . •
AIR HANDLER(DOES NOT include duct systems) at0,000 CPM •
$15 1
EVAPORATIVE COOLERS -
Jr TYPE I HOOD . $50 '. $
'62,,•1=,1 TYPE II HOOD - .. $10 . 1
y< 9 HEAT PUMP/AIR CONDITIONER
.F>, o—s TONS . $12 _ 1
a •AIR CONDITIONER 6-1S TONS . $20 , r
}:•Q•? AIR CONDITIONER a—so TONS . $25 . T
i s AIR CONDITIONER • a
AIR CONDITIONER +so TONS r $60 - r
LPG STORAGE TANK - a $10 . a
-' WOOD OR PELLET STOVE/INSERT - _ $.25 -- s
Subtotal �S 1 (
NOTE: MINIMUM PER1T FEE IS S35. PLUS: PROCESSING FEE $25.00
�' TOTAL PERMIT FEB DUE $ 9 11 no
SIGNATURE:
SPOKANE COUNTY DIVISION OF BUILDINGS •
WEST 1026 BROADWAY AVENTJR•SPOKANE,WA 091SO• (509) 4.55-?675
and
REQUISITION
SPOKANE COUNTY EXTENDED PURCHASING SYSTEM
OF TRAN DOCUMENT NUMBER
`DATE ENTERED BY CODE NUMBER
VENDOR CODE _ l/Cl /17M /lidL"�
VEND NME J4'ZC' (� DEPARTMENT
ADDR Price Agreement or Resolution #
RC# VI#
Delivery Date
✓END CONTACT Ship To Bill To
✓ENDOR PHONE Requested By Phone
LN# GNTY UNIT COMMODITY DESCRIPTION* UNIT TOTAL
CODE COST COST
001
002 g 4 D 0 o 36
003
004 l 4 / / • VAAI-Minol
O05
006
007
008
J
NOTE * Separate requisitions must be used (96286000000) FREIGHT
for each vendor. Accurate descriptions must SUB TOTAL
be given on each item requisitioned. (96299000001) TAX
TOTAL
LN# FUND AGCY ORGN ACTV OBJT SUB JOB NO REPT PRE-ENCUMBRANCE
OBJ CATG
01 p/ • Q 7 77°`b
02
03
04
05
06
BUDGET CERTIFICATION TOTAL
I hereby certify that sufficient funds ATTACHMENTS? _ CONFIRM?
have been budgeted for this claim. This area for Dept use (addn'l approvals, etc)
SIGNED
TITLE DATE
ITENTR1.XLS051892 RETAIN IN PERMANENT FILE WHEN CERTIFIED Page 2