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1992, 07-14 Permit App: 92005213 Mechanical Fixtures MECHANICAL PERMIT-APPLICATION FORM - 5a / Information Worksheet 3 25 JOB STREET ADDRESS: 8 (7 5 Se e, h D r n CITY/STATE/ZIP: c55//I6l(a,,,t.¢- PARCEL NUMBER: OWNER: Pct-1" l c `+ s_514}-ea.n c� ii - H a.i'14 PHONE NUMBER: S"3 y- 6 .2-27 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 = WOODSTOVE/INSER ' x 25.00 = GAS WATER HEATER / x 10.00 = /6 0% GAS EQUIPMENT<100 000 BTU(INCLUDES / x 12.00 = /.? GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 = GAS PIPING (EA OUT x 1.00 = -2 et- BOILER/REFRIG 1-100M BTU x 12.00 = BOIL t /I FIG 1 5 r M BTU x 20.00 = BOILER/REFRIG 501-1,000M BTU x 25.00 = x 35.00 = BOILER/REFRIG +1,750M BTU x 60.00 = HEAD PUMP&AIR.c NDITIC�NER>� TdNS x 12.00 = HEAT PUMP &AIR CONDITIONER 3-15 TONS x 20.00 = HEA1<'PUMP&AIR CCINDITIONER 15 $()TONS x 25.00 = • HEAT PUMP &AIR CONDITIONER 30-50 TONS x 35.00 = H AT PUMP 8 AIR C NDI ION R: 50 TONS x 60.00 = VENTILATING FANS x 10.00 = x 10.00 = TYPE I HOOD(PER 12' OR 12' PTN. OF HOOD) x 50.00 = x 10.00 = CLOTHES DRYER x 10.00 = . x 10.00 = • • . .... . .... .. ..................:......:...................:....:.............:...:.:...:........... GAS LOG x 10.00 = MISC LLANEOUS(NOT CO RED ELSEWHERE x 10.00 = UNLISTED GAS APPLIANCE<400,000 BTU x 50.00 = ULINSTED GAS APPLIANCE>400,0 0 BTU; x100.00= USED APPLIANCE<400,000 BTU x 50.00 = USED APPLIANC >401 ,000 t TU x100.00= AIR HANDLER<10,000 CFM x 12.00 = AIt HANDLER 10,000 CFM x 15.00 = SUBTOTAL $ y oo PLUS: PROCESSING FEE +$ 25.00 NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS: TOTAL PERMIT FEE DUE =$ yPU SIGNATURE �awnr Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675