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1992, 06-09 Permit App: 92004165 Mechanical FixturesMECHANICAL PERMIT APPLICATION FORM Information Worksheet JOB STREET.ADDRESS: S. 190/ 7 jti40ci h till- -)hi ilf CITY/STATEJZIP: Soo £a/w, !✓4 . OWNER: Rurlcj PARCEL NUMBER: PHONE NUMBER: H IQS 013( 9,202 - 0 20"3 MAILING ADDRESS: (Street) (City/State) CONTRACTOR: AIRE VALLEY HEATING & cooling LICENSE NUMBER: AIREVHI1410H PHONE NUMBER: 924-0018 MAILING ADDRESS: N. 521 Ella Rd. Spokane, WA 99212 DESCRIPTION (Street) (City/State) MECHANICAL WORKSHEET/FEE SCHEDULE (Zip) (Zip) NUMBER OF UNITS X EACH UNIT = AMOUNT ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) GAS WATER HEATER I P EblP,InASN,tS0, o '4RIK1 E,iJDI<SY::' GAS EQUIPMENT+100,000 BTU DUCTWORK) MilliMINWESEMO BOILER/REFRIG 1-100M BTU miteimaito BOILER/REFRIG 501-1,000M BTU BOILER/REFRIG +1,750M BTU #NEA'i' ?i71v p.;&„ [1 tdt ipON HEAT PUMP & AIR CONDITIONER 3-15 TONS HEAT PUMP & AIR CONDITIONER 30-50 TONS u ���.�'1��.>'yy"�''Y� }p+//�� 11r,�,,��Il CI�my, f o :::w'�.h'..A#ark?L'fw:.o�SQ'�Ra�a'Ga>feSwin'?s'Surs;F`ark" VENTILATING FANS VAMATIqtatt TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) ..T:..:is...,i�lk�>..:iw^✓'.�ivF:GP.J; �G,:>ni�p CLOTHES DRYER GAS LOG Liamowscr or c .r l UNLISTED GAS APPLIANCE <400,000 BTU ( L1N5'D SAS„Aflp,41r g. USED APPLIANCE <400,000 BTU us r ;' aiA�14 34410 0107 x..,. AIR HANDLER <10,000 CFM TIMI•711 107" X 10.00 IC x 25.00 = x 10.00 = x 12.00 = x 15.00 = x 1.00 = x 12.00 = x 20.00 = x 25.00 = x 35.00 = x 60.00 = x 12.00 = x 20.00 = x 25.00 = x 35.00 = x 60.00 = x 10.00 = x 10.00 = x 50.00 = x 10.00 = x 10.00 = x10.00 = x 10.00 = x 10.00 = x 50.00 = x100.00 = x 50.00 = x100.00 = x 12.00 = x 15.00 = /02 ee- 7a o0 NOTE: MINIMUM PERMIT FEE IS $35.00 SUBTOTAL PLUS: PROCESSING FEE $ ? 6, oo + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE =$ /. 60 SIGNATURE IS Sacvtrz- Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675