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1992, 05-07 Permit App: 92003160 Heat PumpMECHANICAL PERMIT APPLICATION FORM pp laformation Worksheet JOB STREET ADDRESS: /7/G-' S. in41-/Yjcy CITY/STATE/ZIP: _ Sp„/c'a, 11 L A- . PARCEL NUMBER: p OWNER: GRYii, f}btnLlce n,,.S PHONE NUMBER: 9'c20 63/S - MAILING ADDRESS (Street) (City/State) (Zip) CONTRACTOR: AIRE VALLEY HEATING & cooling LICENSE NUMBER: AIREVHI1410H PHONE NUMBER: 924-0018 MAILING ADDRESS: N. 521 Ella Rd. Spokane, WA 99212 (Street) (City/State) MECHANICAL WORKSHEET/FEE SCHEDULE DESCRIPTION ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) WOODSTOVE/INSERT GAS WATER HEATER GAS EQUIPMENT <100,000 BTU (INCLUDES. '. GAS EQUIPMENT+100,000 BTU DUCTWORK) GAS PIPING (EAOUTLET):: ' `: €. BOILER/REFRIG 1-100M BTU BOILER/REFRIG .101-500M STU': °`:: BOILER/REFRIG 501-1,000M BTU .BOILER/REF.RIG 1,00014;750M:BTU- BOILER/REFRIG +1,750M BTU HEAT PUMP &AIR CONDITIONER 04 TONS :.:'. HEAT PUMP & AIR CONDITIONER 3-15 TONS HEAT PUMP: ,& AIR CONDITIONER 15-30 TONS HEAT PUMP & AIR CONDITIONER 30-50 TONS ;HEATPUMP & CONDITIONER +50 TONS . VENTILATING FANS EVAPORATIVE COOLERS TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) TYPE II: HOOD:::: s;::;'.-::: ^: CLOTHES DRYER GAS LOG MISCELLANEOUS.(NOT COVERED. ELSEWHERE:' UNLISTED GAS APPLIANCE <400,000 BTU ULINSTED GAS 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 J/7 Aezzeirn 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 = 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 = x25.00 = x35.00 = 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 = x 12.00 = x 15.00 = / / 02 `-- SUBTOTAL $ /„?,o. PLUS: PROCESSING FEE + $ 25.00 EQUALS' TOTAL PERMIT FEE DUE = $ 3 7.00