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1992, 01-21 Permit App: 92000327 Mechanical Fixtures
o-Asql 1(4 sq Mi(4ipr_34,u-W<N\O-1 (691 4 MECHANICAL PERMIT APPLICATION FORM v Information Worksheet JOB STREET ADDRESS: i. // 9j 17 0erna-1 PARCtL NUMBER: OWNER: S / /9 .t. 7j PHONE NUMBER: ?22 - / 7 / MAILING ADDRESS: (Street) (City/State) CONTRACTOR: AIRE VALLEY HEATING & cooling LICENSE NUMBER: AIREVHI1410H PHONE NUMBER: 924-0018 MAILING ADDRESS: N. 521 Ella Rd. Spokane, WA 99212 DESCRIPTION (Street) (City/State) MECHANICAL WORKSHEET/FEE SCHEDULE ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) iWOOOMQVIek. GAS WATER HEATER .. 70.0144#.0.000040t0(I07 GAS EQUIPMENT +100,000 BTU DUCTWORK) BOILER/REFRIG 1-100M BTU BTU 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 +MOTU MR'VAIROMINTIONER'4C7 VENTILATING FANS TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) CLOTHES DRYER GAS LOG iippigggwgpiggiltpcppygog. ... ....ELSEWHERE UNLISTED GAS APPLIANCE <400,000 BTU ,10-A$AP,P.LIOICE*0(),0.00f USED APPLIANCE <400,000 BTU i101#.0..OW.PPANOK;4011.40.044.7. . AIR HANDLER <10,000 CFM AIR %AN�LEfl >1O000 CFM . .. NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE et,117 iazoo (Zip) (Zip) NUMBER OF UNITS X EACH UNIT = AMOUNT x10.00 = x 25.00 = x10.00 = x 12.00 = x 15.00 = x 1.00 = x12.00 = 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 = 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 = / 0 • • • SUBTOTAL $ / PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE =$ 32.60 Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675