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1991, 09-17 Permit App: 91005905 Mechanical Fixtures MECHANICAL �'ERMIT APPLICATION FORM ' •Information Worksheet G JOB STREET ADDRESS: 3 V02 S . �S�,p az ti) n .. /: ...6.-- -,06-.-... _ CITY/STATE/ZIP: Sjookaa,nL/ lira.. F9.2o6 PARCEL NUMBER: ..3475,/ /.3cL.5 • OWNER: Pa u L ei-o w Yj PHONE NUMBER: 7.-,2 ?- .2 S9 7 MAILING ADDRESS: .e?•i.r.,za,4,f-rd-r ,4-,/7r,?b /"'--� 4'� (Street) (City/State) (Zip) CONTRACTOR: Aire Valley Heating & Cooling LICENSE NUMBER: AIREVHI1410H 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 = N0019SC)VE/INSgRT . X 25.00 = �:F,...::.::•rA:.•s,.:�..�.r.:•..:.,.a.:::.,,...v.......tL'�F;.::.:}i:.:�ir::.: ::.:,.+•c:�:.w:r x tt �::::.:::.. GAS WATER HEATER x 10.00 = . ..... :.A:::E,4f_ati:i; °,%-' . • A.::> . PIONI'Ct ,OOMV 1 I >*S ...... 4 .:.: / x 12.00 = /a GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 GASHING (EI .OUTLETS...... . tx 1.00 = / " BOILER/REFRIG 1-100M BTU / x 12.00 = IaEFvI vK3 E... U ; } :ri 3f F ♦x\ x 20.00 _ BOILER/REFRIG 501-1,000M/(// BTU x25.00 f �,�,: >.a {� ,=w #it Iii !��IG VVY ". jc•F ♦............. -� - x 35.00 = �• BOILER/REFRIG +1,750M BTU x 60.00 = .. HE,' 'p.tIR.t &AIR CONDITIONER:.:;#00$EMMUMMil ; x 12.00 = HEAT PUMP&AIR CONDITIONER 3-15 TONS x 20.00 = , NEAT.}PU,MF AIR CONDITIONER:1530~TONS: >::< > ' x 25.00 = HEAT PUMP&AIR CONDITIONER 30-50 TONS x 35.00 = ' ' ' hHEAT PUM ?` €AIR C.0141 tTIGNE R $d`fioNS x 60.00 = VENTILATING FANS x 10.00 = �EVA ORATIVEOOOLERS ;_:»; i:>:;:::: ,iKiii,,ii x 10.00 = TYPE HOOD(PER 12' OR 12' PTN. OF HOOD) x 50.00 = .TY. P. O: E. i OP> : . ..: ........ x10.00 • ' . :.,. ' ' CLOTHES DRYER x 10.00I` I .4 x1 _ GAS LOG :: ........... .::::... 0.00 _ x10.00 = Nit of itRO ` ON 3 :> ' EWRtI_ r x 10.00 = - .: ::, t . UNLISTED GAS APPLIANCE<400,000 BTU x 50.00 = ' ION. M .xaV.....A...lPPt .41Pl....$....4 . b.. pTJ r , X100.00= '. .�' USED APPUANCE<400,000 BTU x 50.00 = INNI BASVI,Y1•'.:ir`l i' , :Si.: ',}/..C. .v{�C rtlF tN'+�f L xi 00.00- ''''' AIR HANDLER<10,000 CFM x 12.00 = rat .., r` "f titiliQui C M..;w:<::iis vts:::;:a«:::>;a:•; <:»<:<:; r:<:: :::» :: x 15.00 = SUBTOTAL $ /3"i. PLUS: PROCESSING FEE ' +$ - 25.00: NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS:TOTAL PERMIT FEE DUE =$ 3g' - - . SIGNATURE : ti 1)_v6.c2.44 Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675