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1992, 04-15 Permit App: 92002513 Mechanical FixturesL. 11 i 6 - og 9-1 JOB STREET ADDRESS: CITY/STATE/ZIP: .S ok OWNER: Pon na MAILING ADDRESS: CONTRACTOR: AIRE VALLEY HEATING E. cooling MAILING ADDRESS: N. 521 Ella Rd. Spokane, WA lco5 MECHANICAL PERMIT APPLICATION FORM Information Worksheet f. S'/S jjha. G¢ crh1i� 9 JR PARCEL NUMBER: a r� z PHONE NUMBER: 9a -D513 .23$ 77,2 „ 2 - 1 .23 (Street) (City/State) LICENSE NUMBER: AIREVHI1410H PHONE NUMBER: 924-0018 DESCRIPTION (Street) 99212 (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) :WOODSTOVE/INSERT GAS WATER HEATER GAS EQUIPMENT ..5100,000 STU (INCLUDES GAS EQUIPMENT+100,000 BTU DUCTWORK) GAS PIPING(EA.OUTLET): :`' : BOILER/REFRIG 1-100M BTU 130ILER/REFRIG:.101=500M BTU BOILER/REFRIG 501-1,000M BTU BOILER/REFRIG 1;0001-1,750M BTU'.;.' BOILER/REFRIG +1,750M BTU HEAT PUMP.&AIR CONDITIONER 0-3 TONS HEAT PUMP & AIR CONDITIONER 3-15 TONS • .HEAT. PUMP &:'AIR9ONDITIONER:15-30 TONS HEAT PUMP & AIR CONDITIONER 30-50 TONS HEAT;,P,UMP &,AIR;,CONDITIONER +50:,TONS„: VENTILATING FANS :EVAPORATIVECOOLERS:- TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) TYPE II HOOD CLOTHES DRYER .RANGE GAS LOG MISCELLANEOUS, (NOT COVERED ELSEWHERE UNLISTED GAS APPLIANCE <400,000 BTU ULINSTED GAS AP,PLIANCE>400,000 BTU. USED APPLIANCE <400,000 BTU USED APPLIANCE >400,000 BTU; _ . : AIR HANDLER <10,000 CFM 'AIR HANDLER>10,000 CFM NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE 0 r� (Zip) NUMBER OF UNITS X EACH UNIT = AMOUNT x 10.00 x 25.00 x 10.00 x 12.00 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 x 10.00 x 10.00 x 50.00 x 10.00 x 10.00 x10.00 x 10.00 x 10.00 x 50.00 x100.00 x 50.00 x100.00 x 12.00 x 15.00 = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = j /,2 0&- / / v� SUBTOTAL $ /LI.iV PLUS: PROCESSING FEE + $ 25 00 EQUALS: TOTAL PERMIT FEE DUE =$ 3 y D Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675