1995, 09-28 Permit App: 95007821 Mechanical FixturesMECHANICAL PERMIT APPLICATION Gt5
PROJECT ADDRESS: C-
OWNER: ctl .12/
MAILING ADDRESS:
/ F 41G1'L/ N (a o9 o,3 - i 3
(street)
N CONTRACTOR: (-y � � �z 1 r °--7
MAILING ADDRESS:
3
PHONE: % y K47
��-mac tt.;/ ,L_
1 n
(city/state)/ (zip)'
LICENSE: Al l% k H (-) /
(street
PHONE: 2 S A)
city/stat
zip
-1
DESCRIPTION OF WORK
OF
OF UNITS
MULTI -
Dom
/UNIT
YQUAIJ
AMOUNT c
B02
FUEL BURNING APPLIANCE
= or <100.000
/
•
512
.
r j3, ,, ()
B03
FUEL BURNING APPLIANCE
>100.000
515
-
r
B04
UNLISTED APPLIANCE (ADDITIONAL CHARGE)
• or <400.000
550
-
r
BOS
UNLISTED APPLIANCE (ADDITIONAL CHARGE)
>400.000
A
5100
-
r
B06
USED APPLIANCE (Must meet WSECs min. AFUE rating)
= or <400.000
550
-
r
B07
USED APPLIANCE (Must meet WSECs min. AFUE rating)
>400.000
5100
r
B08
BOILER/REFRIGERATION
1-10064 BTU
.
512
-
r
B09
BOILER/REFRIGERATION
10t-50OM BTU
a
520
-
•
B10
BOILER/REFRIGERATION
50t -1.000M BTU
525
-
r
B11
BOILER/REFRIGERATION
1.001-1,7SOM BTU
535
.
•
B12
BOILER/REFRIGERATION
+1,750M BTU
.
560
-
r
B13
GAS LOG. GAS INSERT. AND/OR GAS FIREPLACE
-
•
510
-
$
B14
RANGE
-
•
510
-
•
B15
DRYER
-
•
510
-
r
B16
FUEL BURNING WATER HEATER
-
I510
-
. /Q, n 0
B17
MISCELLANEOUS FUEL BURNING APPLIANCE
-
510
-
r
1318
GAS PIPING (ea. outlet)
-51
-
r ,* , ;1) 0
B19
DUCT SYSTEMS
-
510
-
.
B20
VENTILATING FANS
-
510
.
r i
B21
AIR HANDLER (DOES NOT include duct systems)
= or <10.000 CFM512
.
r
B22
AIR HANDLER (DOES NOT include duct systems)
>10.000cFM•
515
.
r
B23
EVAPORATIVE COOLERS
-
510
.
$
B24
E I HOOD
-
$50
-
r
1/325
E II HOOD
-
.
510
-
r
B26
HEAT PUMP/AIR CONDITIONER
0-5 TONS512
-
•
B27
AIR CONDITIONER
6-1STONS520
-
r 1
B28
AIR CONDITIONER
16-30 TONS525
-
.
B29
AIR CONDITIONER
31-$O TON S
535
-
•
B330
AIR CONDITIONER
+50 TONS560
-
r
B31
LPG STORAGE TANK
-
510
1332
WOOD OR PELLET STOVE/INSERT
-
•
525
-
.
NOTE: MINIMUM PERMIT FEE IS $35.00
Subtotal
,
PLUS: PROCESSING FEE
$25.00
SIGNATURE: � J t1
TOTAL PERMIT FEE DUE
5 y 9, (J
Spokane County Division of Buildings
1026 W. Broadway • Spokane. WA 99260
Tel. No. (509) 456-3675 • Fax No. (509) 456-4703 • TDD No. (509) 324-3166
w•rr{o.dp.ra►.d
PLEASE MAKE CI EECKS PAYABLE TO:
SPOKANE COUNTY PERMIT CENTER