1993, 05-27 Permit App: 93004008 Mechanical Fixtures - ctoog
PtD MECHANICAL PERMIT APPLICATION FORM
Information Worksheet j b 9 9 7
JOB STREET ADDRESS: S 3 g/ /) /CJ( / t<
CITY/STATE/ZIP: \..9"<2-7 z/i/' PARCEL NUMBER:
OWNER: AOd-2t_ %� PHONE NUMBER: 9 ' 7
MAILING ADDRESS: Sj- E
(Street) (City/State) (Zip)
CONTRACTOR: AIRE VALLEY HEATING & Cooling LICENSE NUMBER: ATRFVHT141 nu
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 =
ii.tipppgrgygoOpg.mngiv,egaggiggingiiiiiimmgaing x 25.00 =
GAS WATER HEATER f x 10.00 = /0 J
GAS EQUIPMENT<100,000 BTU (INCLUDES / x 12.00 = Alt: 00
GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 =
-
x 1.00 =
SAS-PIPING_(EAOU7t� .. ,3 3 av
BOILER/REFRIG 1-100M BTU x 12.00 =
OILEF /REFI IG 1 0M::BTU x 20.00 =
BOILER/REFRIG 501-1,000M BTU x 25.00 =
BOILER1 gERtG 1,0001... , 50M BT11 x 35.00 =
BOILER/REFRIG +1,750M BTU x 60.00 =
HEAT PUMP&�#IR t NDITIONER 3 TUNS x 12.00 =
HEAT PUMP&AIR CONDITIONER 3-15 TONS x 20.00 =
• HENT PUMP&AIR OC)NDETIONER 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 FANS x 10.00 =
EVAPO ATIVE OOLERS x 10.00 =
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) x 50.00 =
x10.00 =
CLOTHES DRYER x 10.00 =
RANGE
x1000 =
GAS LOG x10.00 =
MISCELLANEOUS (NOT COVERED', LSEWHER x 10.00 =
UNLISTED GAS APPLIANCE<400,000 BTU x 50.00 =
ULINST D GAS APPLIANCE>400,000 BTU x100.00 =
USED APPLIANCE<400,000 BTU x 50.00 =
USSn PPLIANCE>400,000 BTU x100.00 =
AIR HANDLER<10,000 CFM x 12.00 =
AI f#HANDLER>,1 tf,004 CFM ... . x 15.00 =
SUBTOTAL $ OV
PLUS: PROCESSING FEE +$ 25.00
NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS: TOTAL PERMIT
FEE DUE =$
SIGNATURE \ c ,(el‘
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675