1992, 07-29 Permit App: 92005878 Mechanical Fixtures - MECHANICAL PERMIT APPLICATION FORM
Information Worksheet
JOB STREET ADDRESS: c3 7/3 c '. 1.1*C9O6 hit ��-6876
CITY/STATE/ZIP: s7'JE'(r 0• PARCEL NUMBER: 1532/. 23O/
' OWNER: Den Gi I's D/4,ny PHONE NUMBER: 9'02 S -SS-6/
MAILING ADDRESS:
(Street) (City/State) (Zip)
CONTRACTOR: AIRE VALLEY HEATING E. cooling LICENSE NUMBER: AIREVHI1410H
PHONE NUMBER: 924-0018
MAILING ADDRESS: N. 521 Ella Rd. Spokane, WA 99212
(Street) •- (City/State) (Zip)
�1Gt�: _�, CJli MECHANICAL WORKSHEET/FEE SCHEDULE
J NUMBER X EACH
DESCRIPTION OF UNITS UNIT =AMOUNT
ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) x 10.00 =
WOOns.TtVEIINSE . ... ..:. . .. ; ;;:: x 25.00 =
GAS WATER HEATER / X 10.00 = /Q -
GAS EQUIPMENT<1OO,000BTU(INCLUDES , / x 12.00 = /,2 u----
GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 =
GAS PIPING(SA OUTL . : .::: ;:< <,2 x 1.00 = °i
BOILER/REFRIG 1-100M BTU x 12.00 =
<B x 20.00
.., EF,
(�I I�ERl,R::..:R,G 101-�5�n.::.;;:�'�`U..:.: .......... .... .... ..........;;:
BOILER/REFRIG 501-1,000M BTU x 25.00 =
t� x 35.00
(BILE:. liEF.'I `• ��` OM � < :::<'�`'`'``'"" :'<,�:``:>:`:>:`
f�/ : .q•G °#+001...:�:.:0:.::...- :TU:..:�::>: ....:... .:>`;::<:::<:: �<�:,
BOILER/REFRIG +1,750M BTU x 60.00 =
HEAT PUMP&:AIR CONDITIONER 0--3 PONS ``> ><<!<> :; x 12.00 =
HEAT PUMP &AIR CONDITIONER 3-15 TONS x 20.00 = •
•
• :HEAT PUMP&;AIR CONDITIONE 15,SO TONS ...... > : x 25.00 = •
HEAT PUMP &AIR CONDITIONER 30-50 TONS x 35.00 =
i'l :: .. x 60.00 =
HEAT F'UMI? ki co orroN p+50TONS , <> `: << ::
VENTILATING FANS x 10.00
1 .00
E x 0
A : RATIVE:. E
V ISO C S.:;>«:::;_:<::::.:: ...>< ::<:>::::: <::_�»::�:::>:::::::>::::
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) , X 50.00 =
PEII. :.;<;;;:. ::_»:;:::>::;:;::«:< :<:;<::<:>:;::;::>:»>:..: x 10.00 =
CLOTHESDRYER ..................................................................................... x 10.00 =
:'RANG
X 10.00
_ • .
GAS LOG x 10.00 =
MISCELLANEOUS(NQT COVERED ELSEWHE x 10.00 =
UNLISTED GAS APPLIANCE<400,000 BTU X 50.00 =
ULINSTED GAS APPLIANCE>400,000 ETU x100.00=
USED APPLIANCE<400,000 BTU x 50.00 =
:USED APPLIANCE>400,000 BTU x100.00=
AIR HANDLER<10,000 CFM X 12.00 =
A A�
R N x 15.00
SUBTOTAL $ c2 q,cy
PLUS: PROCESSING FEE +$ 25.00
NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS:TOTAL PERMIT
FEE DUE =$ if q.0o
SIGNATURE cc4Q L4f,r
Spokane County Division of Buildings '
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675