1992, 07-14 Permit App: 92005213 Mechanical Fixtures MECHANICAL PERMIT-APPLICATION FORM
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Information Worksheet 3 25
JOB STREET ADDRESS: 8 (7 5 Se e, h D r n
CITY/STATE/ZIP: c55//I6l(a,,,t.¢- PARCEL NUMBER:
OWNER: Pct-1" l c `+ s_514}-ea.n c� ii - H a.i'14 PHONE NUMBER: S"3 y- 6 .2-27
MAILING ADDRESS:
(Street) (City/State) (Zip)
CONTRACTOR: AIRE VALLEY HEATING & cooling LICENSE NUMBER: AIREVHI1410H
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 =
WOODSTOVE/INSER ' x 25.00 =
GAS WATER HEATER / x 10.00 = /6 0%
GAS EQUIPMENT<100 000 BTU(INCLUDES / x 12.00 = /.?
GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 =
GAS PIPING (EA OUT x 1.00 = -2 et-
BOILER/REFRIG 1-100M BTU x 12.00 =
BOIL t /I FIG 1 5 r M BTU x 20.00 =
BOILER/REFRIG 501-1,000M BTU x 25.00 =
x 35.00 =
BOILER/REFRIG +1,750M BTU x 60.00 =
HEAD PUMP&AIR.c NDITIC�NER>� TdNS x 12.00 =
HEAT PUMP &AIR CONDITIONER 3-15 TONS x 20.00 =
HEA1<'PUMP&AIR CCINDITIONER 15 $()TONS x 25.00 = •
HEAT PUMP &AIR CONDITIONER 30-50 TONS x 35.00 =
H AT PUMP 8 AIR C NDI ION R: 50 TONS x 60.00 =
VENTILATING FANS x 10.00 =
x 10.00 =
TYPE I HOOD(PER 12' OR 12' PTN. OF HOOD) x 50.00 =
x 10.00 =
CLOTHES DRYER x 10.00 =
. x 10.00 = • •
. .... . .... .. ..................:......:...................:....:.............:...:.:...:...........
GAS LOG x 10.00 =
MISC LLANEOUS(NOT CO RED ELSEWHERE x 10.00 =
UNLISTED GAS APPLIANCE<400,000 BTU x 50.00 =
ULINSTED GAS APPLIANCE>400,0 0 BTU; x100.00=
USED APPLIANCE<400,000 BTU x 50.00 =
USED APPLIANC >401 ,000 t TU x100.00=
AIR HANDLER<10,000 CFM x 12.00 =
AIt HANDLER 10,000 CFM x 15.00 =
SUBTOTAL $ y oo
PLUS: PROCESSING FEE +$ 25.00
NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS: TOTAL PERMIT
FEE DUE =$ yPU
SIGNATURE �awnr
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675