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1992, 10-01 Permit App: 92008273 Mechanical Fixtures C l.� J MECHANICAL PERMIT APPLICATION FORM ! a 3 ( Information Worksheet JOB STREET ADDRESS: 5 5 oZ I F a,S+ )/of-k /CO-7 CITY/STATE/ZIP: SvoWn_c\,.e, l v Pi ' r )- PARCEL NUMBER: OWNER: R, A Wee Xs PHONE NUMBER: 595 - )(Dq5 MAILING ADDRESS: (Street) (City/State) (Zip) CONTRACTOR: AIRE VALLEY HEATING & Cooling LICENSE NUMBER: ATRFVHT141 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 = x 25.00 = . .....:.... ::. GAS WATER HEATER I x 10.00 = /o °C ;GAS EQUIPMENT<10Q,000 BTU ON.Q.( DES I x 12.00 = GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 = x 1.00 = a " BOILER/REFRIG 1-100M BTU x 12.00 = 'SOILESIMIEBIOliii014:00*ET )<;<<>::>>>>'<: :. :`>.. x 20.00 = BOILER/REFRIG 501-1,000M BTU x 25.00 = - = I.I�R/:I�hI RIG:1:°O!A��:.;:.:1:�501�A;STU;:.;:> »< >;«>><:':<'>< < «: x 35.00 X41 : ::�. :x::: .. ::.:::.: . :::.:...:.... BOILER/REFRIG +1,750M BTU x 60.00 = ;HEAT PUMP&AIR CONDITIONER0-3.TONS< . »>>: x12.00 = HEAT PUMP &AIR CONDITIONER 3-15 TONS x 20.00 = H> AT PUMP&AIR ONI ITIONE 15 0 TONS x 25.00 = HEAT PUMP &AIR CONDITIONER 30-50 TONS x 35.00 = HEAT PUMP !& I ?C NDITION R+5th 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 = x 10.00 = CLOTHES DRYER x 10.00 = tANG ... ...... x 10.00 = GAS LOG x 10.00 = MISGELlAN OUS(N ?T COV RED LSEWHER x 10.00 = UNLISTED GAS APPLIANCE<400,000 BTU x 50.00 = ULINS ED GAS APPLIANCE>400,000 BTU x100.00= USED APPLIANCE<400,000 BTU x 50.00 = ;USED APPLIANCE>400,0MBTU x100.00= AIR HANDLER<10,000 CFM x 12.00 = AIR I ANIS R 10,000 CL=M...::.; x 15.00 = SUBTOTAL $ ay o" PLUS: PROCESSING FEE +$ 25.00 NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS: TOTAL PERMIT z7/ o FEE DUE =$ SIGNATURE Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 Vit✓ 7 0o 7