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1991, 10-07 Permit App: 91006590 Furnace, Piping MECHANICAL PERMIT APPLICATION FORM hformation Worksheet JOB STREET ADDRESS: S. 20,20 V 0,1- CL ..e..r /QcJ // i3 CITY/STATE/ZIP: �S�d/(d 1.�.. W 79„,z/� PARCEL NUMBER: 22 i5 ' OWNER: 740," a.4 aPHONE NUMBER: yoz� - 0 �� MAILING ADDRESS (Street) (City/State) (Zip) CONTRACTOR: AIRE VALLEY HEATING & Cooling LICENSE NUMBER: ATRFVHT141 OR 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 = GAS EQUIPMENT<t00a00 I7,TU(INCLUDES / x 12.00 = / GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 = GAS PIPING (EA OUT .....; x 1.00 = / 0 0 BOILER/REFRIG 1-100M BTU x 12.00 = x 20.00 = BOILER/REFRIG 501-1,000M BTU x 25.00 = C I1 ERIREF IG , 001--1 x750M I T11'.. :::<` >` x 35.00 = BOILER/REFRIG +1,750M BTU x 60.00 = HEAT` UMk AIB CONDI IONEI t� TANS:: . >: x 12.00 = HEAT PUMP&AIR CONDITIONER 3-15 TONS x 20.00 = • HEA `PUMP&AIR C ND TIONER 15 O'CONS x 25.00 = HEAT PUMP&AIR CONDITIONER 30-50 TONS x 35.00 = HEAT PUMP IR CONDITIONEl +50 TONs x 60.00 = VENTILATING FANS x 10.00 = EVAPO ATIVE CO LRS x 10.00 = - TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) x 50.00 = x 10.00 = CLOTHES DRYER x 10.00 = l�AIVGE x 10.00 = GAS LOG x 10.00 = MISCELLANEOUS(NOT COVERED;ELSEWHERE x 10.00 = UNLISTED GAS APPLIANCE<400,000 BTU x 50.00 = ULINSTED GAS APPLIANC 400,0:00 BTU x100.00= USED APPLIANCE<400,000 BTU x 50.00 = USED APPLIANCE>400000 ETU < x100.00= AIR HANDLER<10,000 CFM x 12.00 = AIr ;NA..DLE t .1x,040 CI=M:;: x 15.00 = SUBTOTAL $ /3 .0o PLUS: PROCESSING FEE +$ 25.00 NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS: TOTAL PERMIT FEE DUE =$ 3 8e SIGNATURE £4.J! 2..v0. 4,YY1 Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675