1993, 05-05 Permit App: 93003189 Mechanical Fixtures V& 34.1V 08/a .
SG MECHANICAL PERMIT APPLICATION FORM
9 .5
Information Worksheet / 1071
JOB STREET ADDRESS: S i2.5� 05 /LJ F, l c. Z�/
CITY/STATE/ZIP: ,c,,(7 -:T /71‘ lct1 PARCEL NUMBER:
OWNER: /7 /7--- PHONE NUMBER: 9;.,-/"> - 2 1
MAILING ADDRESS: o /'
(Street) (City/State) (Zip)
CONTRACTOR: AIRE VALLEY HEATING & Cooling LICENSE NUMBER: ATRFVHT141 nH
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 = /O AI
GAS EQUIPMENT<100,000 BTU (INCLUDES / x 12.00 = ice.
GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 =
GAS PIPING (EA OUTt ::.:.. x 1.00 = 0
BOILER/REFRIG 1-100M BTU x 12.00 =
x 20.00 =
BOILER/REFRIG 501-1,000M BTU x 25.00 =
BOIL P/J EFRIG 1,0001 1, 50M B U' x 35.00 =
BOILER/REFRIC +1,750M BTU x 60.00 =
HAAT PUMP &AIA C NDITIC N R 0 3 TON5 x 12.00 =
HEAT PUMP&AIR CONDITIONER 3-15 TONS x 20.00 =
' HEAT PUMP&All CONDITIONER 15 30 TONS x 25.00 = •
HEAT PUMP &AIR CONDITIONER 30-50 TONS x 35.00 =
HEAT PUMP &AIR CONDITIONER +50 TONS ; x 60.00 =
VENTILATING FANSx 10.00 =
/ /G uv
VAPORATIVE COOLERS;
x 10.00 =
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) x 50.00 =
x 10.00 =
CLOTHES DRYER x 10.00 =
RANGE= x 10.00 =
GAS LOG x 10.00 =
MISC LLANEOUS(NQT COVER D ELSEWHER x 10.00 =
UNLISTED GAS APPLIANCE<400,000 BTU x 50.00 =
ULINSTED GAS;APPLIANCE>400,000 BTU x100.00 =
USED APPLIANCE<400,000 BTU x 50.00 =
USE APPLIANCE>400,000_BTU x100.00=
AIR HANDLER<10,000 CFM x 12.00 =
AIR HANDLER 1 O,OOQ CFM x 15.00 =
SUBTOTAL $ 37X)
PLUS: PROCESSING FEE +$ 25.00
NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS: TOTAL PERMIT
FEE DUE =$ OU
SIGNATURE
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675