1991, 10-07 Permit App: 91006590 Furnace, Piping MECHANICAL PERMIT APPLICATION FORM
hformation Worksheet
JOB STREET ADDRESS: S. 20,20 V 0,1- CL ..e..r /QcJ //
i3
CITY/STATE/ZIP: �S�d/(d 1.�.. W 79„,z/� PARCEL NUMBER: 22 i5 '
OWNER: 740," a.4 aPHONE NUMBER: yoz� - 0 ��
MAILING ADDRESS
(Street) (City/State) (Zip)
CONTRACTOR: AIRE VALLEY HEATING & Cooling LICENSE NUMBER: ATRFVHT141 OR
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 =
x 25.00
GAS WATER HEATER x 10.00 =
GAS EQUIPMENT<t00a00 I7,TU(INCLUDES / x 12.00 = /
GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 =
GAS PIPING (EA OUT .....; x 1.00 = / 0 0
BOILER/REFRIG 1-100M BTU x 12.00 =
x 20.00 =
BOILER/REFRIG 501-1,000M BTU x 25.00 =
C I1 ERIREF IG , 001--1 x750M I T11'.. :::<` >` x 35.00 =
BOILER/REFRIG +1,750M BTU x 60.00 =
HEAT` UMk AIB CONDI IONEI t� TANS:: . >: x 12.00 =
HEAT PUMP&AIR CONDITIONER 3-15 TONS x 20.00 =
• HEA `PUMP&AIR C ND TIONER 15 O'CONS x 25.00 =
HEAT PUMP&AIR CONDITIONER 30-50 TONS x 35.00 =
HEAT PUMP IR CONDITIONEl +50 TONs x 60.00 =
VENTILATING FANS x 10.00 =
EVAPO ATIVE CO LRS x 10.00 =
-
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) x 50.00 =
x 10.00 =
CLOTHES DRYER x 10.00 =
l�AIVGE
x 10.00 =
GAS LOG x 10.00 =
MISCELLANEOUS(NOT COVERED;ELSEWHERE x 10.00 =
UNLISTED GAS APPLIANCE<400,000 BTU x 50.00 =
ULINSTED GAS APPLIANC 400,0:00 BTU x100.00=
USED APPLIANCE<400,000 BTU x 50.00 =
USED APPLIANCE>400000 ETU < x100.00=
AIR HANDLER<10,000 CFM x 12.00 =
AIr ;NA..DLE t .1x,040 CI=M:;: x 15.00 =
SUBTOTAL $ /3 .0o
PLUS: PROCESSING FEE +$ 25.00
NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS: TOTAL PERMIT
FEE DUE =$ 3 8e
SIGNATURE £4.J! 2..v0. 4,YY1
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675