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1992, 10-02 Permit App: 92008385 Mechanical FixturesL 5aO�o ��'l e_5�MECHANICALPERMITAPPLICATIONFORM "( D - SvS �ei,D 057utl o , (o Information Worksheet JOB STREET ADDRESS: S, /02/ L:7�' 7-ohn c.?. -To a.a CITY/STATE/ZIP: -5totc a 2,114- • PARCEL NUMBER: OWNER: 224 Y% ii/, iri. fl10-v/ PHONE NUMBER: 9.-2 r - S S oZ a. MAILING ADDRESS: (Street) (City/State) CONTRACTOR: AIRE VALLEY HEATING & Cooling LICENSE NUMBER: ATREVHT141 OH 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) 'W,OODSTOVE/INSERT GAS WATER HEATER GAS EQUIPMENTG100,000 BTU. (INCLUDES GAS EQUIPMENT+100,000 •BTU DUCTWORK) :GAS, PIPING (EA OUTLET). , • BOILER/REFRIG 1-100M BTU 'BOILER/REFRIG.101 500M -BTU;::::` :!';:: BOILER/REFRIG 501-1,000M BTU BOILER/REFRIG1.0001-1,750M'ET0"'; : BOILER/REFRIG +1,750M BTU •HEAT PUMP &,AIR:CONDITIONER;;0-3 TONS: HEAT PUMP & AIR CONDITIONER 3-15 TONS HEAT PUMP & AIR CONDITIONER,. 15-30 TONS HEAT PUMP & AIR CONDITIONER 30-50 TONS :HEAT:PUMP.& AIR CONDITIONERR:+50 TONS:. VENTILATING FANS EVAPORATIVE COOLERS ..:::...;::;,';;:< :'::;` : TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) TYPE II HOOD.s: CLOTHES DRYER RANGE`. GAS LOG MISCELLANEOUS (NOT COVERED'ELSEWHERE UNLISTED GAS APPLIANCE <400,000 BTU U,LINSTEDGAS APPLIANCE >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 jeczzom (Zip) NUMBER OF UNITS X EACH UNIT = AMOUNT x 10.00 = x 25.00 = x10.00 = x 12.00 = x15.00 = x 1.00 = x12.00 = x 20.00 = 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 = x 10.00 = x 50.00 = x100.00 = x 50.00 = x100.00 = x12.00 = x 15.00 = / 1. /at °,..c.'-- jx c2 - SUBTOTAL $ a2 PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE p =s r'? °j Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675