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1992, 10-26 Permit App: 92009290 Mechanical Fixtures2290 -2,9- cl< X3 6-6 MECHANICAL PERMIT APPLICATION FORM so `78-0`JQ &'yc&ed Information Worksheet, )5� G JOB STREET ADDRESS: . //a30ZD AD frt e.'» D.Qq (-107s- OWNER: � y� CITY/STATE/ZIP: �e8akavt a/ q�h- • PARCEL'NUMBER: 41/11010. • /L/7s- OWNER: /ac.re. P/a.4y PHONE NUMBER: 924-9Xs7 MAILING ADDRESS: (Street) (City/State) CONTRACTOR: AIRE VALLEY HEATING & cooling LICENSE NUMBER: AIREVHI1410H PHONE NUMBER: 924-0018 MAILING ADDRESS: N. 521 Ella Rd. Spokane, NA 99212 (Street) (City/State) MECHANICAL WORKSHEET/FEE SCHEDULE DESCRIPTION ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) WOOOSTOVE/INSERT GAS WATER HEATER :GAS•EQUIPMENT C100,000.13TUi(INCLUDES • GAS EQUIPMENT+100,000 BTU DUCTWORK) GAS PIPING (EA OUTLET) ; : = :.. BOILER/REFRIG 1-100M BTU 'BOILER/REFRIG:101.+500M BTU ::::':s: BOILER/REFRIG 501-1,000M BTU :BOILER/REFRI!G 100014.1;750M:6TU BOILER/REFRIG +1,750M BTU H,EAT:PUMP &'AIR CONDITIONER 0-S TONS HEAT PUMP & AIR CONDITIONER 3-15 TONS • HEAT PUMP &'AIR CONDITIONER 15-SO':TONS.'. HEAT PUMP & AIR CONDITIONER 30-50 TONS ;HEAT:,PUMP. &AIn,CONDITIONER+50{TONS VENTILATING FANS EVAPORATIVE COOLERS TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) TYPE'If HOOD,,.`:`'' ¢`.:: ...:` : CLOTHES DRYER GAS LOG MISCELIANEOUS.(NOT.COVERED ELSEWHERE UNLISTED GAS APPLIANCE <400,000 BTU ULINSTED,GAS;APPLIANCE>400,000.13T0.. 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 S C (Zip) (Zip) NUMBER OF UNITS X EACH UNIT = AMOUNT x 10.00 = x 25.00 = x10.00 = 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 = x 25.00 = x 35.00 = x 60.00 = x 10.00 = x 10.00 = x 50.00 = x 10.00 = x 10.00 = x10.00 = x 10.00 = x 10.00 = x 50.00 = x100.00 = x 50.00 = x100.00 = x 12.00 = x 15.00 = / -- / / /„q 'P .2_,_ a SUBTOTAL $ _2rr -- PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE = $ 4'q 4 Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675