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1993, 05-27 Permit App: 93004026 Mechanical Fixtures1 1:: ,11 i 11" 11 1 •j • .1 i! 11 11 i1 1i ' , TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) TYPE II HOOD , CLOTHES DRYER RANGEGAS LOG ELSEWHEREI MISCELLANEOUS (NOT COVERED ' UNLISTED GAS APPLIANCE <400,000 BTU ULINSTED.GAS'APPLIANCE >400.000 BTU USED APPLIANCE <400,000 BTU • , r USED -APPLIANCE 4001,000 BTU:J.:ft ,, ............... . , AIR HANDLER <10,000 CFM AIRHANDLER • : NOTE: MINIMUM PERMIT FEE IS $35.00 5, SIGNATURE 117trie • ;.; asoL4 -3 I:\ c_. MECHANICAL PERMIT APPLICATION FORM ti.) .e L -1b) f- Li Information Worksheet . '14 51 JOB STREET ADDRESS: 4,/ ,..g.c// Z d e ,ez< j 0 cd CITY/STATE/ZIP: •.-C‘ 490414/C- PARCEL NUMBER: PHONE NUMBER: 91 t -C2 9 OWNER: 4/5,ede,.4 //,..#//941/294 MAILING ADDRESS: (Street) CONTRACTOR: AIRY VALLEY HEATING (CilylState) (Zip) , LICENSE NUMBER: Al -HEW -IT 1 41 nii PHONE NUMBER: MAILING ADDRESS:__52.1N ELLA ROAD PnYANE-, Wa (Street) MECHANICAL WORK DESCRIPTION ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) w�oDtovEnusErrr • GAS WATER HEATER ' GAS EQUIPMENt •100,000,1alTU (INCLUDES -1. GAS EQUIPMENT +160,000 BTU DUCTWORK) GAS PIPING (EA bUTLET) BOILER/REFRIG 1-160M BTU ;BOILER/FIEFF1100-1400M, BTU BOILER/REFRIG 501-1,000M BTU boiCtiiii*PRIG1.1,0001;1;7.50.M13TU BOILER/REFRIG +1,750M BTU HEAT PUMP & AI! bONDITIONER 0-S TONS HEAT PUMP & AIR CONDITIONER 3-15 TONS , 1. 104totimicexio :porotioNthEitoi:30T9N5:... • HEAT PUMP & AIR CONDITIONER 30-50 TONS HEAT,PUktip:4:AIRicoNcimoNERk5030.N$11,1H.11,41.H.. VENTILATING FANS IEVAPORATIVE COOLERS - (City/State) 99212 (Zip) NUMBER OF UNITS X EACH UNIT = AMOUNT x10.00 - x 25.00 = . / x 10.00 = /0 0 0 x 12.00 = x 15.00 = x 1.00 = LOO x 12.00 = x 20.00 = x 25.00 = x35.00 = x60.00 = x 12.00 = x20.00 = x 25.00 = x 35.00 = x 60.00 = x10.00 = x10.00 = x 50.00 = x10.00 = x 10.00 = x 10.00 = x10.00 = / /J.00 • x10.00 ..... x 50.00 = • x100.00 = x 50.00 = x100.00 - x 12.00 = x 15.00 = SUBTOTAL $ ,2/OO PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE = $ Vc? ao Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675