1992, 07-20 Permit App: 92005500 Mechanical Fixtures MECHANICAL PERMIT APPLICATION FORM q Z 55(-17-D
Inforiciation
5L-
Information Worksheet 3e39
JOB STREET ADDRESS: /,,342,207 . /37X
CITY/STATE/ZZIP: ./-avAs2r, LJA- PARCEL NUMBER:
OWNER: Pe-T J- PHONE NUMBER: 9'02 023 002.
MAILING ADDRESS:
(Street) (City/State) (Zip)
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
iso•.F,.C:ti:v:^iv::vi::i::i:4:::,v'.i:i ?:ji:Yi i:Fi}i:�:iri:•.'•:i}L$:i•:Y.p:?��.i:•::
x 25.00
00
;V .
GAS WATER HEATER / X 10.00 = /p.
+GAS QUIPM NT<.10 i000> TU'(INCLUDES x 12.00 - /02 °2---
GAS
eGAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 =
GAS PIPIN (o=ff C�UTI_I ::: x 1.00 - e2 0/
BOILER/REFRIG 1-100M BTU x 12.00 =
C�il_ flF 'IG x 20.00 =
BOILER/REFRIG 501-1,000M BTU x 25.00 =
t1L>=� R
OI ; f�/ EFi`i.IG 't3.0.0'I 0v0M'STU > ;'>><' :>;:<°:<:<:>.><:>::: x 35.00
BOILER/REFRIG +1,750M BTU x 60.00 =
HEAT PUMA AIR CONDITIONER 0 TONS... > ><>>< <`<: x 12.00 -
HEAT PUMP &AIR CONDITIONER 3-15 TONS x 20.00 - •
• .H.EAT PUMP.&AIR CONntT1ONE i'15 3o TONS x 25.00 - •
HEAT PUMP &AIR CONDITIONER 30-50 TONS x 35.00 =
H;EAT."PUM.P;:&AIRCONDITION: +5f TONS: »> ;> '>>>: x 60.00 =
VENTILATING FANS x 10.00 =
E x 10.00
a
..... .... ... ::......:.. .............................. ......... ...
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) x 50.00 =
.;::..::..................:......:.........................................................................................................
x 10.00
CLOTHES DRYER x 10.00 -
.0
22 • •
RANGE 1
X
GAS LOG • x 10.00 =
MIS LLAN C US(NQT COV R D ELS WH t x 10.00 =
UNLISTED GAS APPLIANCE<400,000 BTU x 50.00 =
OLIN TED SAS APPLI N E>4 0,000 BTU ...': x100.00=
USED APPLIANCE<400,000 BTU x 50.00 -
x100.00=
AIR HANDLER<10,000 CFM x 12.00 =
A
x 15.00 Ea
SUBTOTAL $ 02 y.lo
PLUS: PROCESSING FEE +$ 25.00
NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS: TOTAL PERMIT
FEE DUE -$ y7.00
SIGNATURE L
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675