Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
1991, 12-03 Permit App: 91008219 Mechanical Fixtures
---- 0-- . tr l 'C'NA 4 MECHANICAL PERAPPLICATION FORM Information Worksheet JOB STREET ADDRESS: _.4 . - i'/45. -c) ._=FZiWiTZ;iligvia..4- S)Ci .i? CITY/STATE/ZIP:(-5),z,le&i.L.e.7 WI-- PARCEL NUMBER: OWNER: (.o l/ e.,7 c.i4i PHONE NUMBER: MAILING ADDRESS: 9\--YDan- CONTRACTOR: MAILING ADDRESS' (Street) AIRE VALLEY HEATING & COOLING, I N. 521 ELLA RD. SPOKAN$464) 99212 -- (City/State) DESCRIPTION (City/State) (Zip) LICENSE NUMBER: 14,Z74'I NC. PHONE NUMBER: f...? MECHANICAL WORKSHEET/FEE SCHEDULE ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) Y.V.000§Tpy000 GAS WATER HEATER GAS EQUIPMENT k... GAS EQUIPMENT +100,000 BTU DUCTWORK) GAS PIPiNG EA OUTLET) BOILER/REFRIG 1-100M BTU BOILER/REFRIG 501-1,000M BTU iisossitogEni0000.v.finotkBTU BOILER/REFRIG +1,750M BTU HEAT PUMP & AIR CONDITIONER HEAT PUMP & AIR CONDITIONER 3-15 TONS HEAT PUMP & AIR • •••:•:•••••••••,,..- CONDITIONER•••••-•• • ••• •• , •„••••• HEAT PUMP & AIR CONDITIONER 30-50 TONS .:''.00koillootteArktaibititiNt§0;.Atr.7: VENTILATING FANS EVAPORATIVE COOLERS TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) . E II HOOD CLOTHES DRYER GAS LOG UNLISTED GAS APPLIANCE <400,000 BTU v.01.4§1x4:444:1ARepvvg.A.40%ppof:A USED APPLIANCE <400,000 BTU APPLIANCt.400i0.00L . AIR HANDLER <10,000 CFM AIR HANDLER t*' NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE Aed 6tuA4A (Zip) NUMBER OF UNITS X EACH UNIT = AMOUNT x10.00 = 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 = x12.00 = x20.00 = x 25.00 = x35.00 = x 60.00 = x10.00 = x10.00 = x 50.00 = x10.00 = x10.00 = x1000 = x10.00 = x 10.00 = x 50.00 = x100.00 = x 50.00 = x100.00 = x 12.00 = x 15.00 = i / S- - . • • • SUBTOTAL $ /( PLUS: PROCESSING PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE =$ 419,00 Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675