1992, 10-26 Permit App: 92009287 Water Heater, Piping MECHANICAL PERMIT APPLICATION FORM
Information Worksheet - 57 vI '_.;)(c).4-
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JOB STREET ADDRESS: - oZ. Ve h c/$2,F
CITY/STATE/ZIP: or r zi PARCEL NUMBER: '111‘�) `:' 7
OWNER: 90�fl' �� ,29z-YT 9n r PHONE NUMBER: %,27--6. 4 b
MAILING ADDRESS:
(Street) (City/State) (Zip)
CONTRACTOR: AIRE VALLEY HEATING & Cooling LICENSE NUMBER: ATRFVHT141OH
PHONE NUMBER: 924-0018
MAILING ADDRESS: N. 521 Ella Rd. Spokane, WA 99212
(Street) (City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
DESCRIPTION OF UNITS UNIT -AMOUNT
ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) x 10.00 =
x250
25.00 =
V-
GAS WATER HEATER x 10.00 =
t A 'fwQUIPM NT<100,00()I TU (INCLUb S x 12.00 =
GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 =
GAS PIPING(EA QUTh ...... x 1.00
BOILER/REFRIG 1-100M BTU x 12.00 =
x 20.00 =
BOILER/REFRIG 501-1,000M BTU x 25.00 =
BOILER/REF IG`1,0001-1,750M U x 35.00 =
BOILER/REFRIG +1,750M BTU x 60.00 =
H AY PUMA AI +CONDITION R 0 TQ�JS.... x 12.00 =
HEAT PUMP &AIR CONDITIONER 3-15 TONS • x 20.00 =
HEAT PUMP'&Alp gNDITIC NER 15 0 TONS x 25.00 = .
HEAT PUMP &AIR CONDITIONER 30-50 TONS x 35.00 =
HAAT PUMP &AIR C N iTION R +60 TONS x 60.00 =
VENTILATING FANS x 10.00 =
EVA O ATIV OOLERS x 10.00 =
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) x 50.00 =
• TYPE II HOOD :: x 10.00 =
CLOTHES DRYER x 10.00 =
x 10.00 =
GAS LOG x 10.00 =
MISC LIANEOUS(NOT COV RED' LSEWfHERE x 10.00 =
UNLISTED GAS APPLIANCE<400,000 BTU x 50.00 =
ULINST D GAS APPLIANC >400,00 BTU! x100.00=
USED APPLIANCE<400,000 BTU x 50.00 =
US DAP LIANC >4 ,000 t TU x100.00 =
AIR HANDLER<10,000 CFM x 12.00 =
AIR HANDLER>10�QQQ'CFM x 15.00 =
SUBTOTAL $ //
PLUS: PROCESSING FEE +S 25.00
NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS: TOTAL PERMIT
FEE DUE =$ (�
SIGNATURE41 Zei.40
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675