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1992, 11-25 Permit App: 92010412 Mechanical Fixturesr ) >C1,--.2-) L-3 A-7 10_\ ,,._,, __, ?), MECHANICAL PERMIT APPLICATION FORM r' ---k ' - --- Information Worksheet JOB STREET ADDRESS: /V Y2 0 _ -T, c5 C-liettle.s --1 CITY/STATE/ZIP: S 6/e24,-- PARCEL NUMBER: OWNER: 0-12.4 k, RhAa,rd SO Y1 PHONE NUMBER: MAILING ADDRESS: (Street) (City/State) CONTRACTOR: AIRE VALLEY HEATING & cooling LICENSE NUMBER: AIREVHI1410H PHONE NUMBER: 924-0018 MAILING ADDRESS: N. 521 Ella Rd. Spokane, WA 99212 (Street) - (City/State) MECHANICAL WORKSHEET/FEE SCHEDULE DESCRIPTION ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) woopsToyoNis GAS WATER HEATER GAS EQUIPMENT <100,000 BTU (INcLUDES GAS EQUIPMENT +100,000 BTU DUCTWORK) GAS PIPING (EAOUtLET) " .-""• BOILER/REFRIG 1-100M BTU 14gRiREFRIG.44:1#600C. . BOILER/REFRIG 501-1,000M BTU BOILER/REFRIG +1,750M BTU ii-T4rppmei4i!AtapqmpoN • HEAT PUMP & AIR CONDITIONER 3-15 TONS • tlg:opompii!:ggAtaippttproptlgRAsip.::.: HEAT PUMP & AIR CONDITIONER 30-50 TONS HEAT PUMP & AIR CONDITIONER +50 TONS.. VENTILATING FANS EVAPORATIVE COOLERS TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) TYPE II • .................... ............ CLOTHES DRYER GAS LOG mppg;414gp.psji(Norpoyg9,api!t4agwRL:. UNLISTED GAS APPLIANCE <400,000 BTU ULINSTED GAS APPLIANCE >400,000 BTU 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 (Zip) (Zip) NUMBER OF UNITS X EACH UNIT = AMOUNT x10.00 = x 25.00 = x10.00 = x12.00 = x 15.00 = x 1.00 = x 12.00 = x 20.00 = x 25.00 = x35.00 = x 60.00 = x 12.00 = x20.00 = x 25.00 = x35.00 = x 60.00 = x10.00 = x10.00 = x50.00 = x10.00 = x10.00 = x 10.00 = x10.00 = x10.00 = x 50.00 = x100.00 = x 50.00 = x100.00 = x 12.00 = x 15.00 = /...2- ''-- • • SUBTOTAL $ PLUS: PROCESSING PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE ----- =$ ?7 Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675