1992, 10-01 Permit App: 92008285 Mechanical FixturesMECHANICAL PERMIT APPLICATION FORM
(1,ZInformation Worksheet /„ q 9 "�
JOB STREET ADDRESS: I 1 5' 5 EQt s t�u�.► �l i`P ;� ,, co \e ([J i /
CITY/STATE/ZIP: aPokckne t,t) cici CCo PARCEL NUMBER:
OWNER: t2sc\ Gcoss{Y\a_(1 PHONE NUMBER:
MAILING ADDRESS:
(Zip)
(Street) (City/State)
CONTRACTOR: AIRE VALLEY HEATING & Cooling LICENSE NUMBER: ATRFVHT141OH
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)
woODSTOVE/INS RT ...
GAS WATER HEATER
;GAS EQUIPMENT <100000 BTU (INCLU):ES'
GAS EQUIPMENT +100,000 BTU DUCTWORK)
GAS PIPING (EA OUTLET)
BOILER/REFRIG 1-100M BTU
BOILER/REFRIG 101+500M 6T11.
BOILER/REFRIG 501-1,000M BTU
BOILER/REFRIG 1,0001-1,750M S U...:...... .
BOILER/REFRIG +1,750M BTU
...............................
HEAT PUMP & AIR CONDITIONER
HEAT PUMP & AIR CONDITIONER 3-15 TONS
'HEAT.PUM.P :& AIRCONfITIONER 15-+00 TONS
HEAT PUMP & AIR CONDITIONER 30-50 TONS
HEAT PUMP & IR CONDITIONER+50' TNS
VENTILATING FANS
...................................................
EVAPORATIVE COOLERS
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
.........::
CLOTHES DRYER
............................................................. .......
RANGE ;
GAS LOG
..............................................................................................
'MISCELLANEOUS(NOTCOVERED ELSEWHERE
UNLISTED GAS APPLIANCE <400,000 BTU
.............................. ... .
ULINSTED.GAS APPLIANCE >400,000 BTU
USED APPLIANCE <400,000 BTU
............................................ .
USED ;APPLIANCE>400 000 BTU
AIR HANDLER <10,000 CFM
.................................................
AIR HANDI ER >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 =
x 10.00 =
x 12.00 =
x 15.00 =
x1.00 =
x 12.00 =
x 20.00 =
x 25.00 =
x 35.00 =
x 60.00 =
x12.00 =
x20.00 =
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 =
I
1 °t)
/
/oo
SUBTOTAL
$ ) 3 00
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT(.,oa
FEE DUE
=$ 3
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 (1A Lq