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1991, 08-19 Permit App: 91005118 Mechanical Fixtures ' MECHANICAL PERMIT APPLICATION FORM Information Worksheet JQe STREET ADDFIESS: S.-/-.(42-2._/-,--1/2-a2 (I) Y) i L f.'''''''-,CITY/STATE/ZiP: ?,oc/f�+� L4IA PARCEL NUMBER: � OWNER' l r nd'�/ ).t)j,, c 1 n\S PHONE NUMBER: `3c27- V/ - Io22 •3Q27? I�ry ,MAILING ADDRESS, �/ g (Street) (City/State) (Zip) 'CONTRACTOR: Aire Valley Heating & Cooling LICENSE NUMBER: AIREVHI1410H PHONE NUMBER: 924-0018 4 , MAILING ADDRESS: N. 521 Ella Rd. Spokane, WA. 99212 �44 . _ , (Street) (City/State) (Zip) t,s flc MECHANICAL WORKSHEET/FEE SCHEDULE � � s- �� ;; NUMBER REACH fi '4:DESCRIPTION t'# - "- OF UNITS UNIT =AMOUNT' Y EL CTRIC/0 CTWORK SEPARATE SYSTEMS) x 10.00 = -�q( 9''k vu tb ef 4 `......• �y,Swrw��'��r ;+FX�k >�y ry+r d -.•_ x 25.00 �q., .. .- .•» ,..,,j 4.'''''.,el R 9::' -� , r...'''''''''... "k'' ww Brio''',-tc ww a���vs�rab..+dW t� • GAS WATER HEATER � _ .. Y • J.. x 10.00 _ 1 p 'e.: 'I , yoi� s s s rr l',•1it 4 .��:„ . l x 12.00 = /a ` GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 = Stn ;: M .• ,y-'... a ,+ka '•. = p- i. � � ;ti>�>.-P z4 �. x 1.00 p2 .EQILER/REFRIG 1.104M BTU x 12.00 = k ; ,;fi,ir ;'1Ri` °, :-g > ' 11.1: ` Ir i Uta VO x20.00 =• -~ / a . BOILER/REFRIG 501=1,000M BTUx , L .,, 4• t,'01 x 25.00 =_ _ - w�.a . � , c 1441,&t l r'E g i�B 8 iM . ' .. Q}`t+. r { x J5.�� _ . {aQIIER/REFRIG+1,7E0M BTU " ;ate , x 60.00 • s i< ��: � ;. ';[� :, t��ITIt�I`1Ei�l0,a :¢ QN;�;.w:�< >:3,.>>.::; • x 12.00 kHEAT PUMP&AIR.CONDITIONER 3-18. TONS x 20.00 = ,HEAT PUMP&AIR CONDITIONER 30-50 TONS x x 35.00 = :'''¢ 3` V y IPS ` ►;I O RI7IONEF'•3t ON; }} ` = '''''''1-„ , . < ' .: x��.. hr.� 3:4:w t x 60.00 = i VENTILATING FANS x 10.00 ' y..•. -r „�"' w• axs` r• ry.2tt` •'"4 t_.,n` .c •t• `{• ••' { 'f $' /APS 1MTIYa ^. R§l >Y iON.` : :,.•r.: ;�«„�t> r:• x 10.00 = s TYPE I HOOD(PER 12' OR 12' PTN. OF HOOD) x 50.00 = yh e '• is ,..yw• .Y'i''y!+, ,.':%:.:,d-%' •i •• ✓x' '-:::�i�yif 111•nom{ f.�..cc:,LL.' ,. :,' } < :; +::�.-f:. •- >- x 10,00 = 3' {.:����� �•iw,•+�} .24 lr:7.•i�n :n'�i.•.f•.•.�l � M>.v C �Y JN:i�. k41g4 CLOTHES DRYER 10.00 = g,� -. i.xvkno Y {v�"� 1# rng-V' 'IA'rC10:'6_,.S X 10.00 = 4 ' 14 .-�•.� 4 ''''''' '.1"‘A •t, �gL,^.wF,.§ F-- ''''''-\-t• •sa .vn�.... •A z. ,ad6J rk'v y fl, d`Sr� - - .. k GAS LOG e.„ fi .. x 10.00 = t1q C , -1'" (...1': 5 ?. ',• 1E. :as x 10.00 _ '4';''''tUNLISTED GAS APPUANCE<400,000 BTU r 't x 50.00 = r4 o ;.n., r�. ...�'k�'d-�i .�5,t1;r,-aa�Z�. /...„..,,,.E:,...,,,,,,,,,,,,;:„.*:,,,. Woo ' USED APPLIANCE<4001.000 BTU ���g.-...r!,--0-., x 50.00 is - ., ,'�' kt';t f 4 .f 10/4"7. :`" Eab C': 'Q 1 t ?t r ,`S� ;?U t ,xlWW- r�, • t AIR HANDLER<10,000 CFM,44,.-.. "4` . x 12.00 _ -, : , 5 V1au Rbao i 'X',''''' M?;;I::':'....:: g'?• y41,0 y:y f, - X15.00 - 4,, ,.,.. t. .4. a-, 2.a-. ...Y.' X','' > '?.TSL\::?�n •'A x••tb..:- _ - SUBTOTAL . $ 2LL.00 0l) -'''''''''i '' PLUS: PROCESSING FEE +$ 25.00` „:,;,--,,,,t4';:'''..NOTE: MINIMUM PERMIT FEE IS$35.00 • EQUALS;TOTAL PERMIT FEE DUE =s V i 4 o • i' •. 1-'' IGNATURE pu � , i r 'Aiy Spokane County Division of Buildings t x ," .., ; West 1303 Broadway Avenue;Spokane,WA 99260(509)456-3675 t