1991, 11-08 Permit App: 91007808 Mechanical Fixture MECO NICAL-PERMIT APPLICATION Fc "7.M
Informatiori Worksheet
JOB STREET ADDRESS: 967,2 rS'. W 6,0 el Loamei
A
CITY/STATE/ZIP: SfA 't , tfr1 • PARCEL NUMBER:
OWNER: a A 2 b,csDer PHONE NUMBER:
MAILING ADDRESS:
(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 =
GAS I QUIPMEtitt<i00000 TtJ ploWOos ; ;` / x 12.00 = r-
GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 =
x 1.00 =
BOILER/REFRIG 1-100M BTU x 12.00 =
x0.00
2 =
BOILER/REFRIG 501-1,000M BTU x 25.00 =
Box 5.00 =
L 31= . 3
BOILER/REFRIG +1,750M BTU x 60.00 =
H..... ::.:.:....;:al�``���' ND'C<.: NER' ;. :.T >NS`"<':�'''<>>< .
x 12.00 =
;:.;.:ITA'.';PFJ:hII;F'; ;�;:.:;.::: t'�;::.;;;;:t>;:M�;;;;;;;:.:>:.;:0:.;0;:>;:Q>;;:.;:.;:;:::.::.:::. :<.;::.;;:;
HEAT PUMP &AIR CONDITIONER 3-15 TONS • x 20.00 =
HEAT.PUM &AIR ONDITIONEr gommoggigiiiiime x 25.00 = •
HEAT PUMP &AIR CONDITIONER 30-50 TONS x 35.00 =
H Afi'PUMP&AIR ONDITIONER X50 TONS :'> x 60.00 =
VENTILATING FANS x 10.00 =
...........................................................................................................................................
............................................................................................................................................
x1 . 0 =
TYPE I HOOD(PER 12' OR 12' PTN. OF HOOD) x 50.00 =
x1 =
CLOTHESDRYER.:::::::...................................................................................... x 10.00 =
x 10.00 =
GAS LOG:::.::::......................... ......... . ... ... .......... ... ....................... x 10.00 =
..........................................................................................................
:MtSO L1 NE" US.(NOT OOVERED ELSEWHERE x 10.00 =
UNLISTED GAS APPLIANCE<400,000 BTU x 50.00 =
ULINSTED GAS APPLIANCE;>>400 X00 B 'U: x100.00=
USED APPLIANCE<400,000 BTU x 50.00 =
.USEp APPLIANCE 00,000;BTU x100.00=
AIR HANDLER<10,000 CFM x 12.00 =
:>::E>::.> >. >:::.; ::>::»:
x 15.0
AlK#HANbL�R>i0,000 CSM; :::: 0
NI 0 V r, 199 I SUBTOTAL $ / �
PLUS: PROCESSING FEE +$ 25.00
NOTE: MINIMUM PERMIT FEE IS s3§ i'b4 61Y EQUALS: TOTAL PERMIT
00
FEE DUE =$ � 7
SIGNATURE 6.4t1 Q()9-1,00/
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675