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HomeMy WebLinkAbout1992, 12-15 Permit App: 92010969 Mechanical FixturesCl 1 Q cj\rl�i (l6 n Ac- MECHANICAL PERMIT APPLICATION FORM 2-� I I (ocl‘ L 6-4 Information Worksheet J-\ JOB STREET ADDRESS: . _ 96/I4'%a,n Drl J CITY/STATE/ZIP: -7,7 oka.m., q4)//-- . PARCEL NUMBER: p OWNER: £ph I.J P- it [.)9r TA PHONE NUMBER: X0.2 MAILING ADDRESS: (Zip) (Street) (City/State) CONTRACTOR: AIRE VALLEY HEATING & cooling LICENSE NUMBER: AIREVHI1410H PHONE NUMBER: 924-0018 MAILING ADDRESS: N. 521 Ella Rd. Spokane, WA 99212 DESCRIPTION (Street) (City/State) MECHANICAL WORKSHEET/FEE SCHEDULE ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) YVGQDSTOVE/IN$ERT GAS WATER HEATER GA& EQUIPM NT <i 00,000 BTU (INCLUDES GAS EQUIPMENT +100,000 BTU DUCTWORK) GAS. PIPING(AUT?......... BOILER/REFRIG 1-100M BTU BOILER/REFRIG 501-1,000M BTU BOIL R/REpf11G BOILER/REFRIG +1,750M BTU HEAT UMP & I + ONDITION I TQN < < HEAT PUMP & AIR CONDITIONER 3-15 TONS <HEA 'POMP & AIR CONDITION R y5 0 TON HEAT PUMP & AIR CONDITIONER 30-50 TONS HEAT.PUMP: 19 CONDITIONSI ..................................................................................................................... ................................................................................................................. VENTILATING FANS ATIVE TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) CLOTHES DRYER GAS LOG MISCEL1.ANEOUS(N(,?TC©VERED ELLSEWHE UNLISTED GAS APPLIANCE <400,000 BTU ULINS` ED GAS APPLIANCE>400,000 BTU USED APPLIANCE <400,000 BTU USEt AP'I IANCE>400.000 BTU...... AIR 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 = /p'^' x 12.00 = x 15.00 = x1.00 = x 12.00 - x20.00 = x 25.00 = x35.00 = 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 = 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 = /02 -- - • • SUBTOTAL $ ,.2 y - PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE = $ 47 ,- Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675