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1993, 01-05 Permit App: 93000030 Mechanical Fixtures L,[ 5 . 1-3frit c---(0 . .... G13- cl - �1\N ��5 a,� e7-2_ Information PERMIT wokTlON FORM Worksheet JOB STREET ADDRESS: . ./D 7/0 /c5-7- 718 CITY/STATE/ZIP: ,571,6/62A2 , p.�il- 799' PARCEL NUMBER: OWNER: /t7 �2a1 SO PHONE NUMBER: qa 6 - 6 3„S"i' MAILING ADDRESS: (Street) (City/State) (Zip) CONTRACTOR: AIRE VALLEY HEATING & cooling LICENSE NUMBER: AIREVH11410H 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 = wOODSTOVE/INSORT: : ;:i!>S>: x 25.00 GAS WATER HEATER x 10.00 = GAS EQUIPMENT<100,00t STU (INCLUDES / x 12.00 = /,2 Qi-- GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 = GAS PIPING (EA OUTLE1). .... .: / x 1.00 = / BOILER/REFRIG 1-100 M BTU x 12.00 = B > = ,��EF': � x2 . :; ,Ol,�. t�:.;;::;RIG:;�;O;.;�-5.0.0.;;<:�' :,;.:.<.;:..>s>s»:.;><»»>:.»s :.:.:<:.»>::.».:. BOILER/REFRIG 501-1,000M BTU x 25.00 = B L : Cha_EEyREe.81G 1 10001 1M0M BTU _ ':>> >iM''<:<':<'.>:>' n x 35.00 = BOILER/REFRIG +1,750M BTU x 60.00 = 0 HEATpUMP 4i-V0.;09013IONeI 0 7ONS...... ll / x 12.00 = /o2r- HEAT PUMP &AIR CONDITIONER 3-15 TONS x 20.00 = .HE=AT PUMP +&AIItCo.NDITIONE i 15 30TONS >:iiii "< > x 25.00 = HEAT PUMP &AIR CONDITIONER 30-50 TONS x 35.00 = .HEAT PUMPiA All CONDITIONEI +50 TONS x 60.00 = VENTILATING FANS x 10.00 = EVAPORATIVE COOLERS < ;>> ` .... .;:: :: : ;::: x 10.00 = TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) x 50.00 = x 10.00 = CLOTHES DRYER x 10.00 = x 10.00 = • • GAS LOG / x 10.00 = - /O `- MISCELI;ANEOUS(NOT COVERED ELS WHEIRE x 10.00 = UNLISTED GAS APPLIANCE<400,000 BTU x 50.00 = ULIINSTED 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 HANDLEt 10,00Q.CPM::.:.. :. ... .. ; ..: x 15.00 = SUBTOTAL $ 3cS-- PLUS: PROCESSING FEE +$ 25.00 NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS: TOTAL PERMIT o FEE DUE =$ D , SIGNATURE fif 0 Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675