HomeMy WebLinkAbout1991, 10-29 Permit App 91007287 FurnaceMECHANICAL PERMIT APPLICATION FORM
r7 Information Warksheet
JOB STREET ADDRESS: / 6 4 W. £//G(
CITY/STATE/ZIP: S oka4/14. w4 . PARCEL NUMBER:
OWNER: Io.} x a eaYJ PHONE NUMBER:
MAILING ADDRES'
(Street) (City/State)
CONTRACTOR: AIRE VALLEY HEATING & Cooling LICENSE NUMBER: ATRF TRT14104
PHONE NUMBER: 924-0018
MAILING ADDRESS: N. 521 Ella Rd.
DESCRIPTION
(Street)
Spokane, WA 99212
(City/State)
MECHANICAL WORKSHEET/FEE SCHEDULE
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
.O.
hW 3 •
GAS WATER HEATER
:...................:....................................
GAS EQUIPMENT +100,000 BTU DUCTWORK)
BOILER/REFRIG 1-100M BTU
O L R1REi=JUG •1:
BOILER/REFRIG 501-1,000M BTU
BOILER/REFRIG +1,750M BTU
HEAT PUMP & AIR CONDITIONER 3-15 TONS
HEAT PUMP & AIR CONDITIONER 30-50 TONS
H1 T PUMP & AIR CONDITIONE t +50 TONS;:;;`:
VENTILATING FANS
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
CLOTHES DRYER
GAS LOG
.............................................
MISCELLANEOUS':.N::..OT COVERED: ELLSEWHEI
UNLISTED GAS APPLIANCE <400,000 BTU
U.LINSTED:GASAPPLIANCE. O0. 00 BTU
USED APPLIANCE <400,000 BTU
AIR HANDLER <10,000 CFM
NOTE: MINIMUM PERMIT FEE IS $35.00
(Zip)
(Zip)
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
x10.00 =
x 25.00 =
x 10.00 =
x12.00 =
x 15.00 =
x 1.00 =
x12.00 =
x 20.00 =
x 25.00 =
x 35.00 =
x 60.00 =
x12.00 =
x20.00 =
x 25.00 =
x 35.00 =
x 60.00 =
x 10.00 =
x 10.00 =
x 50.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 50.00 =
x100.00 =
x 50.00 =
x100.00 =
x 12.00 =
x 15.00 =
..
l
/02 °�,--
/ ''
•
SUBTOTAL
$ /J
PLUS: PROCESSING' FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
= $ .3 g, Db
SIGNATURE 44.4,02
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675