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1993, 04-07 Permit App: 93002179 Mechanical FixturesMECHANICAL PERMIT APPLICATION FORM Information Worksheet JOB STREET ADDRESS: jf• / 9///171X/ii eZZ c13 -a115 CITY/STATE/ZIP: /9,9,69 -/vi PARCEL NUMBER: +CPA OWNER: 6/.s //L2E S ° 1//E & PHONE NUMBER: ‘ S3 MAILING ADDRESS: t1/27S (Street) (City/State) CONTRACTOR: AIRE VALLEY HEATING & Cooling LICENSE NUMBER: ATPPFVHT141 nt-1 PHONE NUMBER: 924-0018 MAILING ADDRESS: N. 521 Ella Rd. Spokane, WA 99212 (Zip) (Street) (City/State) MECHANICAL WORKSHEET/FEE SCHEDULE DESCRIPTION ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) WOODSTOVE/INSERT=::'; :'• GAS WATER HEATER GAS EQUIPMENT c100,000;ETU (INCLUDES • GAS EQUIPMENT +100,000 BTU DUCTWORK) GAS PIPINGI(EA'OUTLET) ;' `;; . BOILER/REFRIG 1-100M BTU BO6IL .: R/REFRLG;19145OOM;B7U`':;::'.:, BOILER/REFRIG 501-1,000M BTU ,BOILER/REFRIG 1,0001,-1,750M STU?;._:; BOILER/REFRIG +1,750M BTU 'HEAT PUMP;&'AIR; CONDITIONER: 0-3 TONS; ;.`;;_;_ HEAT PUMP & AIR CONDITIONER 3-15 TONS HEAT &:AIR_ CONDITIONER 15-30 TONS...:':. HEAT PUMP & AIR CONDITIONER 30-50 TONS HEAT_DUMP'& AIR: CONDIITIONER+50'TONS')::: VENTILATING FANS EVAPORATIVE:COOLERS ';:;;, TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) ;TYPE)( HOOD,>'.' ' ;'' :: :r;:. CLOTHES DRYER GAS LOG ......:.....:.:. : MISCELLANEOUS.(NOT;COVERED. ELSEWHERE11. UNLISTED GAS APPLIANCE <400,000 BTU ULINSTED GASAPPLIANCE400,000 BTU • USED APPLIANCE <400,000 BTU 'USED:APPLIANCE >400,000,BTU ., AIR HANDLER <10,000 CFM .................. AIRHANDLER>10,000CFM r: Ii F ,I :11 NOTE: MINIMUM PERMIT FEE IS $35.00 r;i SIGNATURE �(- s rile Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 •til (ZIP) NUMBER OF UNITS X EACH UNIT = AMOUNT x 10.00 = x 25.00 = x 10.00 = x12.00 = 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 = 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 = x 12.00 = x15.00 = / /0. 0 0 / i2 n0 2 0 SUBTOTAL $ c:9 --0a PLUS: PROCESSING FEE ' + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE =$ 5/'00