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1992, 08-20 Permit App: 92006677 Mechanical FixturesMECHANICAL PERMIT APPLICATION FORM A Information Worksheet JOB STREET ADDRESS: / /6'' 2 / J . 6 Sr ?(V1 CIMSTATE/ZIP:c'Oo7<0.40, PARCEL NUMBER: LVO OWNER: A9i) /710,) a Y1 PHONE NUMBER: 9(; MAILING ADDRESS: (Street) (City/State) CONTRACTOR: AIRE VALLEY HEATING & Cooling LICENSE NUMBER: ATRFVF4T1 41 n14 PHONE NUMBER: 924-0018 MAILING ADDRESS: N. 521 Ella Rd. Spokane, WA 99212 (Street) (City/State) MECHANICAL WORKSHEET/FEE SCHEDULE DESCRIPTION ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) WOODSTOVEIINSE• ... GAS WATER HEATER GASIUCLUDES GAS EQUIPMENT +100,000 BTU DUCTWORK) GASelo --.... .. . (EA BOILER/REFRIG 1-100M BTU BOLER/RFJIIG 1OtD0M BOILER/REFRIG 501-1,000M BTU BOILER/REFRIG +1,750M BTU HEAT OVIME;:ii$1NR:P0.1.90.1.T HEAT PUMP & AIR CONDITIONER 3-15 TONS HEAT PUM? & IR GONDITIONER 15-30 TONS HEAT PUMP & AIR CONDITIONER 30-50 TONS HEAT PUMP & IR CQNOITONER +50 TONS VENTILATING FANS EVAPORATJVE COQLEPS TYPE 1 HOOD (PER 12' OR 12' PTN. OF HOOD) TYPE ft HOOD CLOTHES DRYER GAS LOG ELSEWHERE UNLISTED GAS APPLIANCE <400,000 BTU ............................................................................................................................. USED APPLIANCE <400,000 BTU USEO . . . . .. ..................... AIR HANDLER <10,000 CFM .. .. . . ... . HANDLERi:.. . >100O0 .. . NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE 14'14 (Zip) (Zip) NUMBER OF UNITS X EACH UNIT = AMOUNT x 10.00 = x 25.00 al / X 1 OM = / / x12.00 x 15.00 = x 1.00 = x 12.00 = x 20.00 = x 25.00 = x 35.00 = x 60.00 = x 12.00 = x 20.00 = x 25.00 = x 35.00 = x 60.00 = x10.00 = x 10.00 = x 50.00 = x10.00 = x10.00 = x 10.00 = x10.00 = x10.00 = x 50.00 = x100.00 = x 50.00 = • • x100.00 = x 12.00 = x 15.00 = SUBTOTAL $ PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE =$ 1-0,06 Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675