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1993, 04-02 Permit App: 93002088 Mechanical Fixtures MECHANICAL PERMIT APPLICATION FORM - -?-• Information Worksheet *735_d f. (' `=,/ (() / 'S.- 7-�,� JOB STREET ADDRESS: , CITY/STATE/ZIP: '.2 A--(72/tPARCEL NUMBER: .3 J 3 -I • () IOC( OWNER: /`I/ _ M'' '-y//:-.4-45, S PHONE NUMBER: MAILING ADDRESS: (Street) (City/State) (Zip) CONTRACTOR: AIRE VALLEY HEATING & Cooling LICENSE NUMBER: ATRF.VHr141 nTi PHONE NUMBER: 924-0018 MAILING ADDRESS: N. 521 Ella Rd. Spokane, WA 99212 (Street) (City/State) (Zip) 1 MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS UNIT =AMOUNT I ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) x 10.00 = i x 2 .00 'sNQQ1�S7�t .E1fNSEl�:. .... .... .;: 5 GAS WATER HEATER / x 10.00 = /€2,l2 GAS. aUUIPMT<1 EN00,00f ST'1 (NG!_UDSS : ... >: / x 12.00 = / .> +. GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 = ::CAS.P.P1NC.(EA � .:: :. OU :.. ... .....:::::: .: ::. :. ......... ,.:2-- x 1.00 = 622 BOILER/REFRIG 1-100M BTU x 12.00 = 2 . = :SE�JI..t*f�t�i> l`.itG<�O� v00l� S il............. ..;;:.;;:.:: .;;;:.; ........ .:>:.. x 000 BOILER/REFRIG 501-1,000M BTU x 25.00 = 130.1Li#ltitORtatiQO0::.�: :,750M :.;;:<x>U ;;;;:;.;:.;:.;: ;:;;:::::. x 35.00 = BOILER/REFRIG+1,750M BTU x 60.00 = = N.�:APtIM.t� ArR+�+�N0��I+�N:E:�<�:::�:.�::4Ns.:::::::::::,.�.,::::::::: x12.00 HEAT PUMP&AIR CONDITIONER 3-15 TONS x 20.00 = >.;,.. ,� ., `,, n t CyNa�'CIi�NEl�;15 $O:TONS:: :<<»<<�><` : x 25.00 = • <HEA:;:;;�?UMC:�;�:;�:: .;.�;:::::�.;.::::._:::::.�.::� :. .::::::.::::::.:::..:...:...: ... HEAT PUMP &AIR CONDITIONER 30-50 TONS x 35.00 = x 60.00 = .. . .HEAT ?UMP: ' 1R QQI••".••0N•ER •5f TQiVS..... >><:; VENTILATING FANS x 10.00 = :EVMQ:::.;.....�.::> ,�QQ�,ESS.:;:.>::.:;:.;,::.;;:.iiiiiiiiii;. :.;;;�.::........ .......... x 10.00 = TYPE I HOOD(PER 12' OR 12' PTN. OF HOOD) x 50.00 = pB tf H00 . ;;;::> .:;;: x10.00 = CLOTHES DRYER ......................... x 10.00 = i x ,. 10.00 = GAS LOG x 10.00 = MISC.EL .ANEOUS(NOT COVERED ELSEWHEF 1= >: x 10.00 = UNLISTED GAS APPLIANCE<400,000 BTU x 50.00 = i INSTED GAS APPLIA• N•CE>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 = ,: . ::::: :•<.;•.,:.;,�>. : .>� <> ilii`<> <`«>'> <?�> <> �Y>�'>>' x 15.00 = Al.t� ANpLER:...��.,OQQ CEM.......:.: :.;:..:::.... ......... .. ......... SUBTOTAL $ cam'X✓f' PLUS: PROCESSING FEE +$ 25.00 NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS:TOTAL PERMIT FEE DUE $ .7, --al SIGNATURE/4/1 ��%/ 1,"4.,i Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675