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1992, 10-02 Permit App: 92008389 Mechanical FixturesLL JOB STREET ADDRESS: CITY/STATE/ZIP: s MECHANICAL PERMIT APPLICATION FORM Information Worksheet /c5-7 £c -'m °k(14/ta% * PARCEL NUMBER: OWNER: /,49 n S7v PHONE NUMBER: 91c.1- 6Prf/ MAILING ADDFIL/SS: (Street) (City/State) CONTRACTOR: AIRE VALLEY HEATING & Cooling LICENSE NUMBER: ATIREVHT141101-1 PHONE NUMBER: 924-0018 MAILING ADDRESS: N. 521 Ella Rd. (Zip) Spokane, WA 99212 DESCRIPTION (Street) (City/State) MECHANICAL WORKSHEET/FEE SCHEDULE ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) VV0O0STOVE,:/000 GAS WATER HEATER GAS EQUIPMENT <100000 -BTU (INCLUDES GAS EQUIPMENT +100,000 BTU DUCTWORK) GAS PIPING (EA OUTLET) BOILER/REFRIG 1-100M BTU BOILER/REFRIG 101-SOOM RTU ... BOILER/REFRIG 501-1,000M BTU B(K:ER/REPRIG!'27 BOILER/REFRIG +1,750M BTU HEAT PUMP & AIR COND...TIONERO-8 TONS HEAT PUMP & AIR CONDITIONER 3-15 TONS H4.-0.-f0.84P:44!,M01:c.0140.0.0.Ngo1440:A17: e:* HEAT PUMP & AIR CONDITIONER 30-50 TONS FEAT PUMP & AIA CONDTIOMER +50 TQNS VENTILATING FANS EVAPOA11VE COOLERS MISCELLANEOUS (NOT COVERED ELSEWHERE UNLISTED GAS APPLIANCE <400,000 BTU ULINSTED.:GAO:AmANqg.00,opq BTU USED APPLIANCE <400,000 BTU USED APPUANCE >400,000 BTU AIR HANDLER <10,000 CFM Alf HANDLER>i0,000 NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE (Zip) NUMBER OF UNITS X EACH UNIT - AMOUNT x10.00 = x25.00 = x 10.00 = x12.00 = x15,00 = x 1.00 = x12,00 = x 20.00 = x 25.00 = x 35.00 = x 60.00 = x 12.00 = x20.00 = x 25.00 = x 35.00 = x 60.00 = x 10.00 = x10.00 = x 50.00 = x10.00 = x10.00 = x10.00 = x10.00 = x10.00 = x 50.00 = x100.00 = x 50.00 = x100.00 = x 12.00 = x 15.00 = / i/O / A-•?. 02_ „2 SUBTOTAL <2- .,64) PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE = $ 5 ax) Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675