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1993, 04-27 Permit App: 93002960 Mechanical Fixturesoq a : 0-iol --4-wv ---1c0-7 o\` �2_LgO io �PtGSE 6- 3r MECHANICAL PERMIT APPLICATION FORM i Information Worksheet JOB STREET ADDRESS: ( /d ci()i / L ,f ("7• 7 90 CITY/STATE/ZIP: , ' /,-/-1) = PARCEL NUMBER: i ' 9,;2. � l`U OWNER: /2.1//C_. (W Z ,) -I/ PHONE NUMBER: % 1 MAILING ADDRESS: (Street) (City/State) CONTRACTOR: AIRE VALLEY HEATING & Cooling LICENSE NUMBER: ATRPVT4T141M MAILING ADDRESS: N. 521 Ella Rd. DESCRIPTION PHONE NUMBER: 924-0018 Spokane, WA (Zip) 99212 (Street) MECHANICAL WORK • ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) *e:?%;Y$Y}>ii•:i}:i:,i>,::vri:Y:4:6:;Y?':3iY:: i :.:. GAS WATER HEATER .+nr .• :: :�w.w... .. .w...�.;«•, o..v.Kwv;v ;fir �:�!;ii. •.�>�.....w�.�.w..w..:YY::::. GAS EQUIPMENT +100,000f.7 DUCTWORK) BOILER/REFRIG 1-100M BTU <. ..Yrs• :=:s::,Y•:.........................,.:.......„:40:: F7:.�����47��l.•��::4>4i7:g.:.•:fY.a�:.: •:•.:::Y•:�r•:_;::: BOILER/REFRIG 501-1,000M BTU .............. BOILER/REFRIG +1,750M BTU =Y:�::»-z;:>;s>s::n3:s>;- ;-: 2:::.,..:- :;t ::>:.....„>::-:: >-»:-•;,.>- HEAT PUMP & AIR CONDITIONER 3-15 TONS ._...-.:4vWr!7:L'SY.^'^'\: S.:MP•vCSIr�4:::Xq•G,�,.fw;... M.Y.. :..{:. ;...: .: ..:.:�: TIONER:i5 $GTO�IS:::: HEAT PUMP & AIR CONDITIONER 30-501 s`�KYW:.L :.. •,<..:.�:.yN..�?riv�:::42K.w<,W.. .hN.....:,...._....,,Y%{...:�::W:: • G.•!A•• .F;)..Y,.•!I' Q! tA•!.f4• VENTILATING FANS TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) :•3:;::.•`: j+i`• !}a:?'c':i#a'S:'�i:iY:•.`:2i:i::::"?asr:<;::::�:::iYvY::::::Yiw:. CLOTHES DRYER :.: }':::..y,: v::'.,::::!:}•L n: �.YiY:•:i ::: {.:.y...........::.:.........:.: i::: ii;Y:•Yv. �.i:.iv. GAS LOG :.......................................................................................... largkROMO.PAMPEPPYg.ED. ELSEWHEI UNLISTED GAS APPLIANCE <400,000 BTU 0000.0: r�... USED APPLIANCE <400,000 BTU AIR HANDLER <10,000 CFM NOTE: MINIMUM PERMIT FEE IS $35.00 (City/State) (Zip) NUMBER OF UNITS X EACH UNIT - AMOUNT x 10.00 - x 25.00 = x10.00= /G'OV ,! x 12.00 = x 15.00 = = x 12.00 = x 20.00 = x 25.00 = x 35.00 = x 60.00 = x12.00 = x20.00 = x25.00 = x 35.00 = x 60.00 = x 10.00 = x 10.00 = x 50.00 = x 10.00 = x 10.00 = x 10.00 = x10.00 = x 10.00 = x 50.00 = x1OO.00 = x50.00 = x100.00 = x 12.00 = x 15.00 = / vii ,,7.-x1.00 _2- u u • . • SUBTOTAL $'cV PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE =$� b SIGNATURE Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675