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1993, 01-29 Permit App: 93000494 Mechanical Fixtures 7 y- • 5a 4 .I. a . I a/ C L, MECHANICAL PERMIT APPLICATION FORM q - c(ct(i ,j3 S censc--V1 ii-/ _Information Worksheet J JOB STREET ADDRESS: ,:-1-., S u 3 //,%7/7-/ /7� /C T Ek+ 12 7 CITY/STATE/ZIP: Si'O�-,4/''r) /J., ��,--20- , PARCEL NUMBER: OWNER: /', a cam' PHONE NUMBER: 9 6 .r -5.,, 5 MAILING ADDRESS: (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 = x 25.00 = GAS WATER HEATER .- x 10.00 = r. :GAB 0QUIPMENT<1OO,OoO BTU (INCLUDES ": / x 12.00 = / J 0 GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 = GAS PIPING (PA 4UT1 ;.. . .... .....::. .. `, < / x 1.00 = /, ,1 BOILER/REFRIG 1-100M BTU x 12.00 = BOILER/REFRIGl ow4M ;: ... TU..::;:.;.:..... 2 :..... ... ....... :::. x 0.00 = BOILER/REFRIG 501-1,000M BTU x 25.00 = B L� mIG 1aao1...X.2saM eTU x 35.00 = BOILER/REFRIG +1,750M BTU x 60.00 = nIBAT PUMP&AIR CONDITIONERt 0- TONS :; . : : ;; x 12.00 = HEAT PUMP &AIR CONDITIONER 3-15 TONS x 20.00 = . 2 .00 = .:::::: ::::::. x 5 HgA'T PUMP&AIP Oi�!�NbtTIgN��t 15 ��TONS;`;.::;;:::`>�< >:. HEAT PUMP &AIR CONDITIONER 30-50 TONS • x 35.00 = ;HtnPUMO!:$Ari C:ONpiTIONgli}5xTONs <;.:'; ;< < x 60.00 = VENTILATING FANS x 10.00 = 1 0 = E x 00 TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) _ x 50.00 = x 10.00 = CLOTHES DRYER x 10.00 = iriAN. . .. x 10.00 = • • GAS LOG x 10.00 = • MISCELLANEOUSNG7 COVFtPmPI.SFifP<>><><'> x 10.00 = UNLISTED GAS APPLIANCE<400,000 BTU x 50.00 = o..R TED GAS APPLIANCE 5400;000 BTU x100.00= USED APPLIANCE<400,000 BTU x 50.00 = USED APPLIANCE>400,000 BTU..::: :i:;>..... ;>: :: x100.00= ........... :>::>:. AIR HANDLER<10,000 CFM x 12.00 = . ;;::.:.... AII�F#ANDf�ei��1 ClQOQ CPNI:<< ><: ` ;:.;:..::::.;:. x 15.00 = SUBTOTAL $ PLUS: PROCESSING FEE +$ 25.00 NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS: TOTAL PERMIT FEE DUE =$ SI U'U SIGNATURE 1 Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675