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1991, 07-25 Permit App: 91004490 Heat PumpJOB STREET ADDRESS: MECHANICAL PE -MIT APPLICATION FORM 'Information Worksheet CITY/STATE/ZIP: StD.ea rl y OWNER: J i z/i 1- .70 Ma h,l e, (,J . MAILING ADDRESS: 2 47, 07, PARCEL NUMBER: PHONE NUMBER: lad-/I/?J CONTRACTOR: Aire (Street) Valley Heating & Cooling MAILING ADDRESS: N. 521 Ella Rd. (City/State) LICENSE NUMBER: AIREVHI1410H (Zip) PHONE NUMBER: 924-0018 Spokane, WA. 99212 DESCRIPTION (Street) (City/State) MECHANICAL WORKSHEET/FEE SCHEDULE ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) >� El�N SRT .. t • ::; x:tn i. �: i::: Sv::'i._}::: ii: i:i::•---v.�: .. .•••• {L:isi::i+:yi'rii'r:t"r:-:�>ii:4:tai:i�lfO:ih'•$1�:Oi)SiLt.:=:::. GAS WATER HEATER GAS EQUIPMENT -+100,000 BTU DUCTWORK) ,GASf1PING (EA OUTLET) BOILER/REFRIG 1-100M BTU "7"1 040040 BOILER/REFRIG 501-1,000M BTU BOILER/REFRIG +1,750M BTU HEAT PUMP`& IR CONDITIONER t y3'T'ONS -' HEAT PUMP 8;AIR CONDITIONER 3-15 TONS LEA,T, PUMP $r,AICONDITIONER 15 30 TONS _ :< HEAT PUMP & AIR CONDITIONER 30-50 TONS t:: r:::::.::::: »::::::.:':.:'.:' :-.: }:•t � .:vi;t»: <::::. �<:::.'...:::Si:.::}': yv:N,n•:; C•.:': �:.:: > i:;:i <;:-:, HEAT PUMP & AIR CONDITIONER+ 0 TON5 VENTILATING FANS EVAPO�R.ATIVE COOLERS . TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) TYP,EIlI HOOD CLOTHES DRYER :.......... N•: �j-;etc!•..i::3:wii::b:?:�$e:h•.ti¢ifi:c.>z}j•o�k:[:-:?-.:;.: v . ..... .........: RANGB at GAS LOG UNLISTED GAS APPLIANCE <400,000 BTU • £UINSXT, ?GvASAP'`.".; C_E>tU:`BB.TU= USED APPLIANCE <400,000 BTU AIR HANDLER <10,000 CFM i>;fd•7.. NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE `SA C . Sq ri,y --- - (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 = x20.00 = x 25.00 = x 35.00 x60.00= x12.00= x20.00 = x 25.00 = x 35.00 = x60.00 = x 10.00 = x 10.00 = x50.00 = x 10.00 = x10.00 = x 10.00 = .. _ • ;:: is x10.0022....._.. x 10.00 = x50.00 - x100.00 - x50.00 - x100.00 - x 12.00 - x 15.00 - ` ` , SUBTOTAL $ ja r', PLUS: PROCESSING FEE . + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE =$ ?l7P6)() Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675