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1991, 08-01 Permit App: 91004661 Furnace, Piping
MECHANICAL PERMIT APPLICATION FORM • Information Worksheet JOB STREET ADDRESS: / s. et961 yepoci CITY/STATEIZIP: SrOk,cdt,-) q «020 PARCEL NUMBER: /2 t - /21)// OWNER: 7Tci e -A ct PHONE NUMBER: z6-9.35T76 MAILING ADDRESS: CONTRACTOR: (Street) Aire Valley Heating & Cooling MAILING ADDRESS: N. 521 Ella Rd. (City/State) LICENSE NUMBER: AIREVHI141OH PHONE NUMBER: 924-0018 Spokane, WA. (Zip) 99212 DESCRIPTION (Street) (City/State) MECHANICAL WORKSHEET/FEE SCHEDULE ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) WOOD$TOV/INSERT GA:ss14:14A.v-rreRmHig.NEAT-77....is. GAS EQUIPMENT +100,000 BTU DUCTWORK) GAS PIPING (EA OUTLT) BOILER/REFRIG 1-100M BTU [0:040111g101)0,1f:114.0.f.i.-:.„ BOILER/REFRIG 501-1,000M BTU !OOXENf41E00011001fRitow:0177.7:7 BLE1flF.RIG +1,750M BTU HEA1R AIR CONDITIONER 0-3 TONS HEAT PUMP & AIR CONDITIONER 3-15 TONS HEAT PUMP & AIR CONDITIONR„E. HEAT PUMP & AIR CONDITIONER 30-50 TONS VENTILATING FANS EyApc)RATiygpootg.., ....„.,.. TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) CLOTHES DRYER GE GAS LOG Mgq.0074.1gp.:(4001100:11011.0r#T10#010.1.. UNLISTED GAS APPLIANCE <400,000 BTU USED APPLIANCE <400,000 BTU pgpx;Appp:Atipgi*400X)Nigigfiggingi.. AIR HANDLER <10,000 CFM NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE (Zip) NUMBER OF UNITS X EACH UNIT = AMOUNT x10.00 = x 25.00 = x10.00 = x 12.00 = x 15.00 = x 1.00 = x 12.00 = x20.00 = 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 = x 10.00 = x 50.00 = x100.00 = x 50.00 = x100.00 = x 12.00 = x 15.00 = / jcz (.20 SUBTOTAL $ PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE00 = $ 3 7 --- Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675