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1991, 07-29 Permit App 91004570 Furnace•:9 MECHANICAL PERMI rkPPLICATION FORM Information Worksheet JOB STREET ADDRESS: J _ /n q c LS'P h CITY/STATE/ZIP: 24,/ f✓ PARCEL NUMBER: OWNER: .,fi/ i".s L - PHONE NUMBER: 9�Z7 MAILING ADDRESS: CONTRACTOR: Aire (Street) Valley Heating & Cooling MAILING ADDRESS: N. 521 Ella Rd. (Street) (City/State) LICENSE NUMBER: AIREVHI1410H PHONE NUMBER: 924-0018 Spokane, WA. (City/State) MECHANICAL WORKSHEET/FEE SCHEDULE DESCRIPTION ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) WOOL STOVE/INS RT GAS WATER HEATER .:.' GAS EQUIPMENT +100,000 BTU DUCTWORK) • GAS PIPING (EA BOILER/REFRIG 1-100M BTU OI1 'E. .R 0 - �+00 r ' i ryh {., .:: .:,.�.+�i�I �:.::i.F�ii�7 �U�-'�7VVii11 �TiJ...�?����"�Ys°ro.:':.:.' :...�. BOILER/REFRIG 501-1,000M BTU +f�:: r.}��}, r..,.r:rn,-.v:.v::.nv�...:: ::ryn:.r. .: F3:•..r .•;:.:-::-":::..{;f.....;}.....S::Y..::.C•. OILER/REFRIG 1,000 1,750M BTU BOILER/REFRIG +1,750M BTU HEAT PUMP & AIR COONDITIONER 0• -3 TONS HEAT PUMP & AIR CONDITIONER 3-15 TONS HEAT PUMP $ AIR CONDITIONER 15 3O TONS HEAT PUMP & AIR CONDITIONER 30-50 TONS HEAT PUMP & AIR CONDITIONER+5tl TONS � { VENTILATING FANS EVAPORATIVE COOLERS TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) TYPE II HOOD :: ': CLOTHES DRYER 'GAS—LOG '`i3 .::. :4.tv:-. .::. ... Kv..kw..:..v....... {::. SFr: • UNLISTED GAS APPLIANCE <400,000 BTU SU;I It1SxTEDmG,AS APPL1ANC6 00' ..::: • :.{ : _;< ::><,. USED APPUANCE <400,000 BTU y.::::::r f�pw•lxr }r.: i:.v^WMy::: ;: rr: :::^)!:.:::. �: :•:: •n• y �'l�`{y�1Y��.], �'C• ,�J�j(j(.�, 5� a( JF a♦ �4}}n�y.•'9v�:•r•,v�j` . •',+p+'.'A:S�'4Y ••/�' .}:��!-� 'FI! :. ,NV"sk AIR HANDLER <10,000 CFM ,r :{.}}.r.w.vnC-y •n,uv.vrr.v. AID;ANt�C.�1.�.►`�'��(QQQ.�`F�:>%:� .n,?$..��}.z��''��.N4Y�..V{' NOTE MINIMUM PERMIT FEE IS $35.00 (zip) 99212 (zip) NUMBER OF UNITS X EACH UNIT = AMOUNT x 10.00 = x 25.00 = x 10.00 = / x 12.00 = /� �- . x 15.00 = x 1.00 = / °' x 12.00 = x20.00 = x 25.00 = x35.00= x60.00 = x 12.00 ._ x 20.00 = x25.00'=• x35.00 = x.60.00 = x 10.00 = x 10.00 = x50.00 = x10.00= x 10.00 = x 10.00 = x10.00=,.. x 10.00 = x 50.00 = X100.00 = ,x • ! x 50.00 = x100.00 = x12.00 = x x 15.00 = SUBTOTAL $ /3 -: PLUS: PROCESSING FEE ' + $ 25.00 • EQUALS: TOTAL PERMIT _ FEE DUE . =$ 3 Od Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675