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1992, 08-06 Permit App:92006132 Mechanical FixturesL- .'0-3 „ I Soc7 \ °27•P MECHANICAL PERMIT APPLICATION FORM 92 - (19 3 , 5‘&63,c,ov ,b reots4-re7c. S Information Worksheet JOB STREET ADDRESS: 7/3 S. g (O=1 0( ob /71 hooe( CITY/STATE/ZIP: ci)OtgAte, ZA1/ . PARCEL NUMBER: / OWNER: P47 ,S-17- e /4 S. e WI- PHONE NUMBER: '9,42- - /Jt$ MAILING ADDRESS: (Street) (City/State) CONTRACTOR: AIRE VALLEY HEATING & Cooling LICENSE NUMBER: AIRFITHT1 41 OH PHONE NUMBER: 924-0018 MAILING ADDRESS: N. 521 Ella Rd. Spokane, WA 99212 (Zip) DESCRIPTION (Street) (City/State) MECHANICAL WORKSHEET/FEE SCHEDULE ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) GAS WATER HEATER i'.0wgoutemewr:100;- GAS EQUIPMENT +100,000 BTU DUCTWORK) GAS PIPING (EA OUTLEIJ BOILER/REFRIG 1-100M BTU i,fip:!tg;-11:03gRiloi:loRgioNtBTU • BOILER/REFRIG 501-1,000M BTU * • "'" ••••• • 33.0.1LEFUREF.. • • . BOILER/REFRIG +1,750M BTU tIgNrepme:ii4AtRispqmpploNga: • • • HEAT PUMP & AIR CONDITIONER 3-15 TONS i:•1HEAT " TONS HEAT PUMP & AIR CONDITIONER 30-50 TONS HEAT. PUMP & AIR CONDITIONER +50• VENTILATING FANS EVAPORATIVE COOLERS . . TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) TYPE II HOOD CLOTHES DRYER GAS LOG MISCELLANEOUS (NOT COVERED ELSEWHERE UNLISTED GAS APPLIANCE <400,000 BTU ULINSTED GASAPPLIANCE >400,000 BTU USED APPLIANCE <400,000 BTU iiusw•Appqmpg*oppwpTuz„,,.. AIR HANDLER <10,000 CFM AIRHANDLER >10,000 NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE (Zip) NUMBER OF UNITS X EACH UNIT = AMOUNT x10.00 = x 25.00 = x 10.00 = x12.00 = x 15.00 = x1.00 = 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 = x10.00 = x10.00 = x 50.00 = x10.00 = x10.00 = x10.00 = x10.00 = x10.00 = x 50.00 = x100.00 = x 50.00 = x100.00 = x 12.00 = x 15.00 = / A?) 6=-2-- / c2 _Z. • SUBTOTAL $ f°n? PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE =$ 4'7. ,j5ceidort Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675