1993, 03-23 Permit App: 93001702 Mechanical Fixtures MECHANICAL PERMIT APPLICATION FORM
Information Worksheet
JOB STREET ADDRESS: S,. 302 0 9 L.JOOd I.J2 hA
CITY/STATE/ZIP: SP0/C.(in�e / 4ilI- ‘ PARCEL NUMBER: j--/533 a •06-/z)
OWNER: ?7j4 Yi/ , .'Yt.e PHONE NUMBER: ?2/41- ? c '
MAILING ADDRESS: AID het _/- /D 6L- .
(Street) (City/State) (Zip) 004(0
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 =
2 .00
s
x
5
woorSTtw�/INSSt�...: lvi_
GAS WATER HEATER / x 10.00 =
.. .. - x12.00 = / ate=_
GAS EQUIPMENT<100,000 RTU(INCLUDES
GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 a
,-,Z /
GAS PIPING (EA .. , :.. : �, x 1.00 °
BOILER/REFRIG 1-100M BTU x 12.00 =
::B00400/90.q 10)-- OOM t TU :. :.. ; 20.00lia
........
x
BOILER/REFRIG 501-1,000M BTU x 25.00 =
." 7
0M
B
x
35.00
BOILER/REFRIG +1,750M BTU x 60.00 =
HEAT 1'UMP' A01+SONDITIONER CJ41 CONS><<•:' `` ` <_`'
x
12.00 =
HEAT PUMP&AIR CONDITIONER 3-15 TONS x 20.00 =
• HEAT:PUMP:&AIR CONDITIONER X15.30 TONS; <::�::::� ':' x 25.00 =....:.....:<
HEAT PUMP &AIR CONDITIONER 30-50 TONS • x 35.00 =
„<. "a „:'1': i'•'`'^!iaf +i x 60.00 =
FI��ITf'u�nf�:&�1�1;��Nf�`r:'l:�N��C��b TSN ::>:::<>' r: .....::
VENTILATING FANS x 10.00 =
.
S
;EVAPORATIVE�00LER..:..:.. ': ..:.:. x 100 =
0
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) x 50.00 =
x10
10.00
CLOTHES DRYERx 10.00 =
R N;.:<
x10.00 00 •
_
A
GAS LOGx 10.00 _
MISCELLANEOUS;(NOT COVERED ELSEWHERE ;l
x 10.00 =
UNLISTED GAS APPLIANCE<400,000 BTU x 50.00 =
ULINSTED;GAS APPLIANCE>400,00( BTU, ' x100.00=
USED APPLIANCE<400,000 BTU x 50.00 =
USED pI,
ALIANC : 4p0,000 BTU . .:.:. : `:'iiii x 100.0 a
.. .....: >.
��
AIR HANDLER<10,000 CFM X 12.00 =
AIs�,HANpPR*18,000+GEM > :<:<:::>:>::>:::
x 15.00
SUBTOTAL , $ .Z V -
PLUS: PROCESSING FEE +$ 25.00
NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS:TOTAL PERMIT
FEE DUE =$ y7 i
SIGNATURE za,
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Spokane County Division of Buildings
West 1303 Broadwr,Af Avenue Spokane, WA 99260 (509) 456-3675