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1991, 09-17 Permit App: 91005969 Mechanical FixturesMECHANICAL PERMIT APPLICATION FORM Information Worksheet JOB STREET ADDRESS: 3 % // /U- EL y CITY/STATE/ZIP: Sr/<Q rut . PARCEL NUMBER: OWNER: ��_ ePh 't l7 ear. a n4 .auk PHONE NUMBER: ? Z J ' Y''/7 MAILING ADDRESS: (Street) (City/State) CONTRACTOR: Aire Valley Heating & Cooling LICENSE NUMBER: AIREVHI1410H 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) WOODSTOVE/INSER .................. . GAS WATER HEATER GAS '"t 1PMI N iQ0,#STU{10.040 S GAS EQUIPMENT +100,000 BTU DUCTWORK) GAS PIPING (EA Q.UTLE BOILER/REFRIG 1-100M BTU BOILE /i EFRIG 101- t M TL BOILER/REFRIG 501-1,000M BTU 3OIL.ER/REFRIG ,004 'I,750M BT BOILER/REFRIG +1,750M BTU .............. HEAT PUMP & AIR CONDITIONEF HEAT PUMP & AIR CONDITIONER 3-15 TONS ...:::.:::... 1JMP4& AiR CONDITIONER 15.30 TONS EAT PUMP 8: AIR CONDITIONER 30-50 TONS IttgagAN. $AIR CONDITIONER`50 TO1JS VENTILATING FANS EVAPORATIVE COOLERS :<,:>.:::. TYPE 1 HOOD (PER 12' OR 12' PTN. OF HOOD) TYPEII.HOOb. CLOTHES DRYER GAS LOG UNLISTED GAS APPLIANCE <400,000 BTU ULINSaT 'GAS APPLIANCE USED APPLIANCE <400,000 BTU .. a�::::%:.c'W�%L�:�S[�� '��:._::.v:Xx.:q::�.:U.«.y� fv:.:,y:::::::::.::.::.v: •:.vr:.:::.v:::.ve. AIR HANDLER <10,000 CFM xr NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE '.i AV /41 Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 (Zip) NUMBER OF UNITS X EACH UNIT = AMOUNT x 10.00 = x 25.00 = x10.00 = x12.00= x 15.00 = x 1.00 = x 12.00 = x20.00 = x 25.00 = x 35.00 = x 60.00 = x12.00 = x 20.00 = x 25.00 = x 35.00 = x 60.00 = x 10.00 = x 10.00 = x 50.00 = x 10.00 = x 10.00 = x 10.00 = x 10.00 = x10.00 = x50.00 = x100.00 = x50.00 = x100.00 = x 12.00 = x15.00 = /0" /�%` ( /,,,? ....---- SUBTOTAL $ 3,5'0' PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE 6 0 0240 _$ .