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1992, 09-22 Permit App: 92007899 Mechanical Fixtures � W�L� r �' MECHANICAL PERMIT AP=PLICATION FORM �a- ` `1 Sinformation Worksheet JOB STREET ADDRESS: • ?6/ , /07" CITY/STATE/ZIP: S/llokcg n¢ PARCEL NUMBER: OWNER: die. n n _Tivcr h u m PHONE NUMBER: 9„z - /4/69 MAILING ADDRESS: U - (Street) (City/State) (Zip) CONTRACTOR: AIRE VALLEY HEATING & Cooling LICENSE NUMBER: ATREvHT141 nH 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 = WOQDSTOVE/INSERT x 25.00 = GAS WATER HEATER ( x 10.00 = a,--"----- GASEQUIPMENT'<100,000 BTu (INCLUDES x 12.00 = X02 °�-- GAS EQUIPMENT +100,000 BTU DUCTWORK) x 15.00 = GAS PIPING (EA OUTLET) x 1.00 = `"-2-)--- BOILER/REFRIG 1-100M BTU x 12.00 = BOILER/REFRIG 101-500M BTU x 20.00 = BOILER/REFRIG 501-1,000M BTU x 25.00 = BOILER/REFfRIG 1,0001-1,750M Bir x 35.00 = BOILER/REFRIG +1,750M BTU x 60.00 = HEAT f UMP&AIR CONDITIONER r0-3 TONS x 12.00 = HEAT PUMP &AIR CONDITIONER 3-.15 TONS x 20.00 = HEAT PUMA$�AIR CONDITIONER 5-30 TONs x 25.00 = HEAT PUMP &AIR CONDITIONER 30-50 TONS x 35.00 = HAAT PUMP t . ;1R CONDITIONER +50 TONS x 60.00 = VENTILATING FANS x 10.00 = VAPORATIVE C OL RS x 10.00 = TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) x 50.00 = TYPE II HOOD;.. .<':<>'. .i'<s`c'`< `; `. .:.::>::.:::.. x 10.00 = CLOTHES DRYER x 10.00 = RANGE x 10.00 = :.:::...:. ... . . GAS LOG x 10.00 = MISCELLANEOUS•(NOT,COVERED ELSEWHERE; x 10.00 = uNLISTED GAS APPLIANCE <400,000 BTU x 50.00 = ULINSTED GAS'APPLIANCE>400,000'BTU x100.00 = USED APPLIANCE <400,000 BTU x 50.00 = USED APPLIANCE>400,000 BTU x100.00 = AIR HANDLER <10,000 CFM x 12.00 = AIR HANDLER>10,000 CFM x 15.00 = SUBTOTAL $ 2 PLUS: PROCESSING FEE + $ 25.00 NOTE: MINIMUM PERMIT FEE IS $35.00 EQUALS: TOTAL PERMIT FEE DUE _$ if 9 0� SIGNATURE Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675