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1991, 11-07 Permit App: 91007669 Boiler, Piping
q \- -- 1 (-00 .. • • MEcHANICAL PERMIT APPLICATION FORM Information Worksheet JOB STREET ADDR SS: 7 • CITY/STATE/ZIP: CA/L n a,G .4.S' /A/A-- PARCEL NUMBER: OWNER: Do Sey b nth PHONE NUMBER: MAILING ADDRESS: (Street) (City/State) (Zip) CONTRACTOR: AIRE VALLEY HEATING & Cooling LICENSE NUMBER: ATRF.VFTT141nH 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 = x25. 00 GAS WATER HEATER x 10.00 = g40iiEQUIPMENT<10p0O0$TU.(INCLUDES x 12.00 = GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 = ............................................................................................................................................ x 1.00 = v: (2a2 BOILER/REFRIG 1-100M BTU / x 12.00 = /0 " x2000 _.l. ttla. ...F�G.1tt1�5�Iy.....0..i1.................................... .. ._......... BOILER/REFRIG 501-1,000M BTU::::::::...................... . ............... x 25.00 = . . . .............. SOIL RIRSF IG.1,0004 1:05OM BTU. .. ... .``:.':' `:';. '< ';: : x 35.00 = ................:: BOILER/REFRIG +1,750M BTU x 60.00 = HEAT PUMP AIR CON[ ITIONER 0 3 TONS • x 12.00 = HEAT PUMP&AIR CONDITIONER 3-15 TONS • x 20.00 = • HEAT.PUM'*Atli CONDITIONED S..0070NS x 25.00 = • HEAT PUMP &AIR CONDITIONER 30-50 TONS x 35.00 = ittgaiimmim All CONDITIONER#$0 TONS x 60.00 = VENTILATING FANS x 10.00 = ........................................................................................................................................... ............................................................................................................................................ x 10.00 = ..........................................................................................................:...............................: ........................................................................................................................................... TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) x 50.00 = • g x10.00 = CLOTHES DRYER x 10.00 = x10.00 = GAS LOG x 10.00 = MISCELtANSOU$(NOT COVERED ELSEWHERE x 10.00 = UNLISTED GAS APPLIANCE<400,000 BTU x 50.00 = ULINSTED GAS:APPLIANCE>400,0.00 BTU x100.00= USED APPLIANCE<400,000 BTU x 50.00 = USED APPLIANCE` 00,000'BTU x100.00= AIR HANDLER<10,000 CFM RECEIVED x 12.00 = /SIR RAND ER 1 t1,Q0Q CFM' .: x 15.00 = U " 19 SUBTOTAL $ /y.o BUri.0 r G: SAFETY PLUS: PROCESSING FEE +$ 25.00 NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS: TOTAL PERMIT FEE DUE =$ 3 l.e.0 SIGNATURE ill Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675