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1991, 09-17 Permit App: 91005975 Furnace, Piping .F: • MECHANICAL PERMIT APPLICATION FORM -Information Worksheet • JOB STREET ADDRESS: ' 6S S. ,cu /a n d - CITY/STATE/ZIP: Sr o.a 4 wit. • PARCEL NUMBER: 7� ' 2« - OWNER: 11a.r/l e c h7' PHONE NUMBER: 902 B"-c302-/. MAILING ADDRESS: (Street) (City/State) (Zip) CONTRACTOR: Aire Valley Heating & Cooling LICENSE NUMBER: AIREVHI141OH 5 PHONE NUMBER: 924-0018 MAILING ADDRESS: N. 521 Ella Rd. Spokane, WA. 99212. (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH • DESCRIPTION OF UNITS UNIT =AMOUNT ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) x 10.00 = • !M :OVE/IN$ERT�.::>::Y:::: <:z ., x 25.00 = ::::::::++x.,v::Av>\-:v:v .......... .......�{fi}?J•}:i?•ii:'•.v:::::.vuv:n4.+f-v.�-:r.W.vvvsi4}:e:wT>!: :::r}::>?ti}:4-A}:i • GAS WATER HEATER " x 10.00 = 4� ,�:yn.- :y..;:}.,•.:i:n,...Aw.,.;:.x.::..• ,;n:•v, i9 v;;::;;:,_:.��'R?k;:<.;•r,.;u �O }--..A. .kl*l" 1f if IR ... IVA ET1Y- t 1 46 ' >11 nn'' / x 12.00 = /4 GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 GAS.PwlWJNG(EA OUTLET,} x,n...� ..,. i„ :<4:rrik. ,: :-..ni,-:ww><. _ �. . X 1.00 °= :. BOILER/REFRIG 1-100M BTU x 12.00 = vx?I� 1UOMSi1,vJ : n4f �4fi 'Y �� x 20.00 = •" • BOILER/REFRIG 501-1,000M BTU x 25.00 = w ; • r.tfoi ma1=F G i A04 i 760M BTU < xe-?::?<.}-��fi.-«:>.;. fizz : x 35.00 = ...:.:::::.:.:.; BOILER/REFRIG +1,750M BTU • x 60.00 = - . f Y :?0 :.n>. • X 12.00 HEAT P>rMP&At CC1NnIT1ONEp 0 3 TONS' i i NIB • ' HEAT PUMP&AIR CONDITIONER 3-15 TONS x 20.00 =, • HEA MP AI 10 TONS �4 x 26.00= PU & Ft COIJpITION�R .,, ....,...i,.N -...,:.-, r�..:.,.... . ...:-.,. n....,...� .....:.rr.Ys�,...,:p:,.a.,:.�,,.rn,4�en...•t�fir.�n. .,,_, .. ,. ., HEAT PUMP &AIR CONDITIONER 30-50 TONS x 35.00 = • HEAT PUMP&AIR CONDiTIONEA��S,'[,C) 1Si<�, j �v.}:�.>f x 60.00 .n ...r .N........ ......... ........k Nr.....r. ...:.n.nr n�• •.n.C ...rf br��9}}Y70b:si�: u ,. =. ....."..> ,.. � -.'. ..w .. VENTILATING FANS • x 10.00 = , EVAPORATIVECOOLERS......:..`> ` -:-.:4-:..`-:.: :'.�:`'= rw: a x10.00 = . ::. :.::: :::? . . ::::.:...:..:: . :: ..:::::::.-: ....-) :::.:v:.::.::.;..rrr'.yFi$.'.4,•:r}.:xr... ... • �. TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) • x 50.00 _ TYPEI::H D. :...:.::..�:.:.:.::?> ::;.;:r�>4n}.•:.z-:::..:�.:. _ .#.. O.<3. . ..:::::.�::.. . - " :.:. :::...:.:.:....,n.. x 10.00 CLOTHES DRYER x 10.00'm • x 10.00 GAS LOG _ x 0.00 .,., ._ • ____ _��:.." ,.. 5 i. V x 10.00 = - „vv:: : . :: ::" :-..-...--4n.v.w\,v..w.v:V,x UNLISTED GAS APPLIANCE<400,000 BTU x 50.00 = s!H.nywn v+;iro:nY•:n':•:Y:.�.v.:v: �vr.}vsr}r •,}vvifi{fi'};}"; .:4 ULit.141 ,044 A;PPLI1 f�iCf. 41)0 O <2 kki:: xa�- gi'. x100.00" t� -v:}:.:::n nx.....,:.rh' ..-....-. ,......:,. s -.--..-.- �::,> .:,:.,filln�a:�A�K:dn.-is:%iitr:»:lao>?� _ ,.• ..c • USED APPLIANCE<400,000 BTU x 50.00 = 311,74107.110:414:00.11440101. T#I ta• }::;AE.0 x100.00- AIR HANDLER<10,000 CFM x12.00 - 1�i Dttti rOr, :O C 1�rS t•.��',: '•''`w >�.f''` ?yY °"s3!` _•x 15.00 - n..,..•.t�:hAni}.:•i}.:v:: ......... ....:r:f..v:.4::::::::::::n:::p.:'�F?;.�n:r::/.•f.•:n$r:. ..i{{.r.K•rbv}: SUBTOTAL . • $ /3 • PLUS: PROCESSING FEE +$ 25.00 NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS:TOTAL PERMIT FEE DUE =$ .3 g'.DO SIGNATURE sV cicv�L/ Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509)456-3675