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1993, 02-22 Permit App: 93001015 Mechanical Fixtures
`-i"5o1 0MECHANICAL PERMIT APPLICATION FORM 9. 73 - to/-5 ?/ C Di I S7 i'-ep Information Worksheet JOB STREET ADDRESS: /�' ,l /I Z•1/ 4 ;� 2ao CITY/STATE/ZIP: ,/)l2i7`/i, PARCEL NUMBER: OWNER: ,Y ' / /'2 4<% PHONE NUMBER: 9g - � 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 a WOO S74 E/INSEa..::;::... ......... GAS WATER HEATER -0 x 10.00 = .46B-')-b- GAS EQUIPMENT<100 000 BTU (INCLUDES = x 12.00 = / ,w GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 = GAS PIPING (EA OUTLET) :: x 1.00 = 70 D, BOILER/REFRIG 1-100M BTU x 12.00 = B :; G 0 '�50 . ... x 20.00 = BOILER/REFRIG 501-1,000M BTU x 25.00 = ` � p t ...� 5 M.BTta: x 35.00 = :::::::::::::::::::::::::::::::::::..::.............................................. BOILER/REFRIG +1,750M BTU x 60.00 = I . ; D T ONE . 0-3 TONS`> > ` <• <€`<€>' x 12.00 = HEAT PUMP&AIR CONDITIONER 3-15 TONS x 20.00 = • • • i'MAt pfjm.Rkimfttgmp.ytpNgFt 15.:30 TONS ; > ?`' '` x 25.00 = • HEAT PUMP &AIR CONDITIONER 30-50 TONS x 35.00 = •H�A►"f PUMP ......• (R OCyNUITIbNER X50 TOSS;::• �'::>,<:;< :• m:: x 60.00 VENTILATING FANS x 10.00 = EVA�'ORA`1'�VECOt7CEf�S: : «: ;:„ :<»:::<>::;;:: x 10 00 = TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) x 50.00 = !regEltilEIROOMMIEMIONNEREMENMERNIIIx 10.00 .................... . CLOTHES DRYER x 10.00 = x 10.00 = • GAS LOG x 10.00 = MISCELI.AN00US.(NOT COVET#EIO„ELSl WHEt E <<>> ` : x 10.00 UNLISTED GAS APPLIANCE<400,000 BTU x 50.00 = UIINSTEQ GA5:APPLIANCE 5400,000 BTU.. . x100.00= USED APPLIANCE<400,000 BTU x 50.00 = USSR Apel,lANCI* :::400;Q00-0.TU` . . ... ;.; x100.00= ......... AIR HANDLER<10,000 CFM x 12.00 = . NI ` ,.>:>>:.;<::::'.:;.»>`:`: ;:s : ::;::;:::°<<: ; x 15.00 = Atli HANpLEp;>10,Q00 CE.;: . :. :... ::::. ..::..:..:..:::..::::::........ SUBTOTAL $ 0- PLUS: PROCESSING FEE +$ 25.00 NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS: TOTAL PERMIT FEE DUE =$ Mee il` if SIGNATURE ,. i Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675