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1992, 07-22 Permit App: 92005590 Mechanical Fixtures MECHANICAL PERMIT APPLICATION FORM O,2,' % '°� Information Worksheet jQ� JOB STREET ADDRESS: '4 6„--2) ��JL� h ��,i() `A'' n !C\\,,'- CITY/STATE/ZIP: :--,k. ,r-\2 14 �q v01 PARCEL NUMBER: OWNER: K \\ K i -I- PHONE NUMBER: q•y-q 1-7( MAILING ADDRESS: -DA'mC' Cit (Street) ( /State) (Zip) (City /State) AIRE VALLEY HEATING & cooling LICENSE NUMBER: AIREVHI1410H PHONE NUMBER: 924-0018 MAILING ADDRESS: N. 521 Ella Rd. Spokane, WA 99212 (Zip) (Street) (City/State) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS UNIT •AMOUNT ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) x 10.00 ODSTOVENSER Y » < < » o�: ,: lh : ;':< :.: 1 Y 25.00m W kc GAS WATER HEATER 1 x 10.00 = /C . +GAS EQUIPMSNT i.ouoi BTU (INCLUl FS x 12.00 = GAS EQUIPMENT+100,000 BTU DUCTWORK) i x 15.00 = f c.c <, ,<:;v:.;.::::::.........:<e«:.<::::;.;>;;;:::;;>�::>>»:<:»::::;>:;:.:::.:;;:;;><:.>::;:;:::::>;:,.»;<; : �' 1.00 = oe GAS PIPING.(EA OUTL .. .. . :; ::;.;,::.::::.::;:..;::...>.;::.:..: ,� x BOILER/REFRIG 1-100M BTU x 12.00 _ FIG<: 0 :�50nN1':I�Tt:1 :'><<>>'>r<'< '�<><::......... x 20.00 t�C�11�EF�lFit� 5 :; :� � ...:..:.:..:::::. .. ... ....... x 25.00 = BOILER/REFRIG 501-1,000M BTU BOILER/REFRIG.'1,0001-1,750M B1U.... ;` x 35.00 BOILER/REFRIG +1,750M BTU x 60.00 = HEMI ppme$011 0140111,N R 40:TOWS 11111` x 12.00 0 = HEAT PUMP &AIR CONDITIONER 3-15 TONS 1 x 20.00 = 0 cti • 2 .0 0 = Hg PUMP$ Aid#CC NOITION vj ( Ios > '>> x 5 HEAT PUMP &AIR CONDITIONER 30-50 TONS • x 35.00 = . 0 _ x6 00 HEAT,PUMP,:&:Alf CONta.ITION , , 511 TONS <Bigg >•`< x 10.00 = VENTILATING FANS 1 .0 0 S :<>_< .. x 0 L .... TYPE I HOOD(PER 12' OR 12' PTN.OF HOOD) x 50.00 _ x 10.00 ............ : ' CLOTHES DRYER x10.00 = AAW0g _ .............. .... ..::> ;,?.>:> x 1000 GASLOG~><><:.....................................;:.;<;::.>;.>:.:;>:........... X 10.00 = • MISCELLANEOUS::(NOT COVERED ELSEWHER >: :: >< x 10.00 = • UNLISTED GAS APPLIANCE<400,000 BTU x 50.00 = .: :: .. ......, ;;: x100.00 ULINSTED GAS MPpLiANC *4 f.)::q . .. .. . : USED APPLIANCE<400,000 BTU x 50.00 = .... ...... X100.00 USE( J�p}�LIAIVCE400/000 ;; r .. .: ... . ........:. >:«:;:;::..::«.;::>: 100.00 la. AIR HANDLER<10,000 CFM x 12.00 = AIk9MNpLI*Ii- 1 n,000.. .:.;:. ...: .... ..... . ....... . . .._.. .... ...... x 15.00 _ SUBTOTAL PLUS: PROCESSING FEE +$ 5.00 NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS:TOTAL PERMIT 66 FEE DUE =$ 7• SIGNATURE Spokane County Division of Buildings • West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675