1992, 09-01 Permit App: 92007086 AC MECHANICAL PERM-APPLICATION FORM 9 Z - 70k)
Information-7-AWorksheet, (Oct 2�
JOB STREET ADDRESS: 12 �. / 9 �/ .
CITY/STATE/ZIP: OIL/(0-i PARCEL NUMBER:
OWNER: FhL_ef e PHONE NUMBER: 9 V /77/
MAILING ADDRESS:
(Street) (City/State) (Zip)
CONTRACTOR: AIRE VALLEY HEATING & Cooling LICENSE NUMBER: ATRFVHT141 OH
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 EQUIPMEN '<iOQi000 BTU(INCLUDES x 12.00 =
GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 =
x 1.00
=
BOILER/REFRIG 1-100M BTU x 12.00 =
x2
20.00 =
BOILER/REFRIG 501-1,000M BTU x 25.00 =
.0 =
l�t�ILtf�tl�>;>�t�iG�:B��i 1�,75DNt.ITU ........;:;::::::;:.;:;: ;.: .. .:>: x 35.00
BOILER/REFRIG +1,750M BTU x 60.00 =
x 12.00 =
o
/� �-
HEAT PUMP &AIR CONDITIONER 3-15 TONS • x 20.00 =
HEAT P JM I O t ITIONER 15.-30 TONS >.<:`< ;< < x 25.00
HEAT PUMP &AIR CONDITIONER 30-50 TONS x 35.00 =
HELI PUMP IR CONDITION 1 5 TO 1S;<`> »> >> >< x 60.00 =
VENTILATING FANS x 10.00 =
x 10.00 =
TYPE I HOOD(PER 12' OR 12' PTN. OF HOOD) x 50.00 =
• x10. 0 =
>'Y>Yl':eI�>11th:o1�<<�<����`� <��<�����' <` <> >�<>'>> >�> > `>> «« `> }<<<�< '
0
...........................................................................................................................................
............................................................................................................................................
CLOTHES DRYER x 10.00 =
...........................................................................................................................................
x 10.00
=
............................................................................................................................................
GAS LOG x 10.00 = •
...........................................................................................................................................
...........................................................................................................................................
MISCELLANEOUS(NOT CoVEREt ELSEWHERE <; x 10.00 =
UNLISTED GAS APPLIANCE<400,000 BTU x 50.00 =
t LI.NS' .GAS:A '1 IANC 400 000 SSU. x100.00=
USED APPLIANCE<400,000 BTU x 50.00 =
....................................:.:.....................................................................................................
USEt APPLIANCE +40 ,000 BTU> x100.00=
AIR HANDLER<10,000 CFM x 12.00 =
x 15.00
SUBTOTAL • $ /02,c))
PLUS: PROCESSING FEE +$ 25.00
NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS: TOTAL PERMIT
FEE DUE =$ .3 r7. 9 u
SIGNATURE °, / .EC,: z4,71,
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675