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1991, 06-17 Permit App: 91003391 Heat Pump
n• MECHANICAL PERMIT APPLICATION FORM . Informatip Worksheet ' JOB STREET ADDRESS* /3 9 .2 41 4. ra -t a Ido CITY/STATE/ZIP: Op'/62.0 A, WA 79.2/6 PARCEL NU11-isq MBER: tgig-- 4 OWNER: •fr6 Po 44 d ; n 4i PHONE NUMBER: ?,25' - 99'7 e••• MAILING ADDRESS: (Street) : • CONTRACTOR: Aire Valley Heating & Cooling • MAILING ADDRESS: • • N. 521 Ella Rd. (City/State) (Zip) LICENSE NUMBER: AIREVHI1410H PHONE NUMBER: Spokane, WA. 99212 (Street) ..„ MECHANICAL WORKSHEET/FEE SCHEDULE (City/State) , :4..,,;...:::;;; ••;'.'. ' • •.! • DESCRIPTION -'..' 'r ' ELECTA wooDST.,„•0V,E!.1EAN TE,.R :„.:.„..i. ..„1:tirittoy..4„,:•E],„:,,:z.-- s wATER IL ,cry,,,.:.....,. :' ''...,.4e•-A-Azatt•i'MM* IC/DUCTWORK (SEPARATE SYSTEMS) ..... ,,:i '' • • GA --- -9----'.< 00.099 .. 7!771..)R1:) k ' r4442 - - T +100,0 .. ,, . i! eXeEQUIPMEN blint4"1.' - 00 BT ..,..H.:..„., . , 1, ' ,G ..... AS PIPING (EA OUTLET) BOIL fidt BTU -•• • ...;...,„„sne,,E::;,]mm.:ii:::,E:::.N. ...119014ILER/' ' AMON _A,P„ boom 0'1 1404------ . ., , ,,...,,t, ..... G 1-1°13- -• ' ' -. FJIFRIG 50171LItiBM7tit'i4i.t.iii.,,;f:„:?:...t.,..„,„::: 'tibittATArn 1 750M BTU e rdlibb01'fr.-47' . ‘ „ 'Bo" ,1 ER/REF:R.4G.10+,c.QN. PUMP biyoNE9:973":1trISIa]V"::::: HEAT PUMPf4e• kSHci HEAT & AIR, . CONDITIONER 3-15 TONS ' . 5kcrA,,....-..:,.t,.. '•;: k1w.1,.r7,.A...3,..,.PO,7?nP-.A ;.''' IR•''.:.'cONDITtg-• iP305 ...7 TONS HEATPUMP & AIR CONDITIONER 30 0•....‘,. T 6P .,,:14ATPPMr1wtcdeNttrfpN0+50:TO1§,,,..: ,,.,....,.". ...•-:.,„• VENTILATING7ANS e '1,k.-• ' EVAPORATI)/ COOLERSTYPE 1 HOOD OD) PER 12' OR 12' P1;1.... (::71:::::. typail:j1000 cLoTii' • .. ,.,.......2„:„„wAvnig!oi:z1:]...,:,:z - - ,,.., H i.,• ti#M1g5”.72-E-75;tt,037.g#04g44r""..r. •-zz- GAS:, N'Immr,,qn-egirts) eali1/491Aapi"pi_girka..,400,2.1070.2,9„BuTuititiry.p..k, !Lt,. UNLISTED •--1ANOct991YY9.• _.'• fisISIEDI4AAAPett,....___ u!EpAtiptiopyucAitEcpocs<4:0:0:16001,0010:Bligu.sit,..1.0„.01:i.,;!".:7;:,..li:.! ?„,.,............,„ , g.§.a.Ac - !..:t., AIR HANDLER <10,000 CFM i• • . A 1-'. . 40441Watral,fig0..qigEMAMIlt•g1 . z 1 NOTE MINIMUM PERMIT FEE IS $35.00 t•,i SIGNATURE /7 1:4 .n . NUMBER OF UNITS X EACH UNIT ' = AMOUNT x 10.00 = x 25.00 = x10.00 = x 12.00 = ' x 15.00 = x 1.00 = x 12.00 = x 20.00 = x 35.00 = x 60.00 = x12.00 = x 20.00 = x 25.00 = x 35.00 = x 60.00 = x10.00 = x10.00 = x50.00 = x10.00 = x10.00 = x10.00 = x10.00 = x 10.00 = • x50.00 = x100.00, = x 50.00 = x100.00 = ' ' x 12.00 cz' ,• x 15.00 n , . • . . / /a? f. -T- ist .... • •- , , • SUBTOTAL •$ 10 5.--'' PLUS: PROCESSING FEE ' + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE =$ 37- Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 . c••' --;*”••111