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1991, 06-04 Permit App: 91003079 Mechanical FixturesVA S(THAS MECHANICAL PERMIT APPLICATION FORM t_W )056 Information Worksheet JOB STREET ADDRESS: F/ / 466621-c-- CITY/STATE/ZIP: JODRoA0.-2 ? 7,24k PAACELNi (5 LS OWNER: gill a c.5)ci1c4-j PHONE NUMBER: 902 7 - MAILING ADDRESS: (Street) (City/State) (Zip) CONTRACTOR: Aire Valley Heating & Cooling LICENSE NUMBER: AIREVHI1410H PHONE NUMBER: MAILING ADDRESS: N. 521 Ella Rd. Spokane, WA. 99212 (Street) (City/State) MECHANICAL WORKSHEET/FEE SCHEDULE DESCRIPTION ELECT,R19/DIJCTys/ORK (SEPARATE SYSTEMS) ir friar, • GAS EQUIPMENT +100,000 BTU DUCTWORK) GA IkkEA"bUTLETJ BOILER/REFRIG 1-100M BTU BTU • BOILER/REFRIG 501-1.000M BTU VOICOMTAIdIATAPiOIVI.TU rx BOILER/REFRIG +1,750M BTU 77.70010:777777:7,7777 HEAT PUMP & AIR CONDITIONER 3-15 TONS ititai!PPRRAAIK:PQNPITION.. HEAT PUMP & AIR CONDITIONER 30-50 TONS VENTILATING FANS TYPE 1 HOOD (PER 12' OR 12' PTN. OF HOOD TYPE U HOOP CLOTHES DRYER GAS LOG • !..t. „.„..., . UNLISTED GAS APPLIANCE <400,000 BTU USED APPUANCE ." - • x-17.: yaw. AIR HANDLER <10,000 CFM---------------- xe.:v•r• NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE -zed4/.4ipt (Zip) NUMBER OF UNITS X EACH UNIT = AMOUNT x10.00 = x25.00 = x 10.00 = x 12.00 = x 15.00 = x1.00 = x 12.00 = x 20.00 = x 25.00 = x35.00 = x 60.00 = x12.00 = x20.00 = x25.00 = x35.00 = x60.00 = x10.00 = x10.00 = x50.00 = x10.00 = x 10.00 = x 10.00 = x10.00 = x 10.00 x50.00 = x100.00 = x 50.00 x100.00 x 12.00 82 x 15.00 = / / A --' I SUBTOTAL PLUS: PROCESSING FEE . + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE =$ 1 Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675