1992, 01-13 Permit App: 92000194 Mechanical Fixtures a-o'�yuk- 35''a 1,,
unly�5� ` `MECHANICAL PERMIT APPLICATION FORM Ct a✓ `94/
�• l..•"` - .34 N. Information Worksheet
JOB STREET ADDRESS: / Q 6 O <2 /5-r4 S 6 a
CITY/STATE/ZIP: S'P0ka ,2 k'4 . g9,,2_0(o PARCEL NUMBER:
OWNER: t1D71 Ton e.S PHONE NUMBER: 9 dal - /IY7
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 =
INQOV:STOVVI.NSPRT >:
x 25.00 =
GAS WATER HEATER x 10.00 =
GAS EQUIPMENT<100 000 BTU.(INCLUDES ( x 12.00 = /a
GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 =
GAS;PIPING(EA OUTI:ET):....... ' : ( x 1.00 =
BOILER/REFRIG 1-100M BTU x 12.00 =
BOILER/REFRIG:.101.500M BTU'... .. .;:: `'` : , x 20.00 =
BOILER/REFRIG 5. 01-1,000M BTU x 25.00 =
�� 1 ..` = 7 BTU > <> :>> >< ': >>:<��::< '
x 35.00 =
SQa1: HIH�I=r�;G.1;�0.001::.:�:�;SaM..::. :: :. :::::.:::::::::::::.:::...::::.
BOILER/REFRIG +1,750M BTU x 60.00 =
HEAT PUMP &;AIR CONDITIONER 0-3 TONS ... x 12.00 =
HEAT PUMP &AIR CONDITIONER 3-15 TONS x 20.00 = •
• HEAT PUMP&AtR CCNOITIONEH.15 3OTONS :: x 25.00 = .
HEAT PUMP&AIR CONDITIONER 30-50 TONS x 35.00 =
HEAT PUMP &AIH CONDITIONER +50 TONS x 60.00 =
VENTILATING FANS x 10.00 =
EYAPORATMCOOL;;;RS.:;;:::<.:::.n;:.;:.:.:::>: ;::.: ::: ...::::::.
x
10.00 =
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) x 50.00 =
x 10.00 =
CLOTHES DRYER , x 10.00 g•
....... . x 10.00 =
GAS LOG x 10.00 = -
MISCELLANEOUS(NOT COVERED ELSEWHERE x 10.00 =
UNLISTED GAS APPLIANCE<400,000 BTU x 50.00 =
U�INST.0D GAS APPI,tANGE>400,000>3TU
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 =
x
15.00 =
SUBTOTAL $ /3
PLUS: PROCESSING FEE +$ 25.00
NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS: TOTAL PERMIT
FEE DUE =$ Si
SIGNATURE 6/•LiCasfie,/ er✓
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
09/20/93 09:44 BCSIS CONTRACTOR ;. NO. 137 D01
•
Department of Labor 8c Industries REGISTRATION VERIFICATION
Contractor Registration Section ,
PO Box 44450
Olympia WA 9850474450 (206)956-6226
SCAN 269-5226
PAX(206)956-5228
7"To From Cete Yea ly90•.
: ..._ . Olympia Headquarters
Registered name ..----
ka .4 ..-
kcgiatradon number
swk , /7 y_, /-9y
Contractor: Your Certificate of Registration will be sent from the Olympia office and
should be received within 2 to 3 weeks. Please keep this record until you receive your
Certificate of Registration.
you
P625-036.000 registration verification 4-93
9/7,0A7 14 /1•"- `C.
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