1995, 12-04 Permit App: 95010044 Gas Log, PipingMECHANICAL PERMIT APPLICATION 5 -
PROJECT ADDRESS: 1-U c20 Y (16.(z) 17
OWNER:
MAILING ADDRESS:
CONTRACTOR:
fY1.
a o
(street)
$ (Je ,16; c,7
PHONE DAYTIME CONTACT
ka�n 01A- C, 9-2
(city/state)
(zip)
MAILING ADDRESS: tag 31i✓
"Y) U -f
LICENSE:(. C c ! 7 b
PHONE: q2<ro-22//
ir-i1 C.Xt.
cit /state) (zip)
11.
DESCRIPTION OF WORK
OF UNITS
Saari
LIM 1
CVsl
/UNIT
soueza
AMOUNT
-,�,
tFUEL
- -- -
BURNING APPLIANCE
= or <100,000
=
$12
:
1043
FUEL BURNING APPLIANCE
> 100,000
$15
-
iiiiii
UNLISTED APPLIANCE (ADDITIONAL CHARG
= or <400,000
$50
-
s
:#35
UNLISTED APPLIANCE (ADDITIONAL CHARG
>400,000
=
$100
-
1
'USED
APPLIANCE (Must meet WSEC's min. AFU
= or <400,000
=
$50
-
s
?
USED APPLIANCE (Must meet WSEC's min. AFU
>400,000
=
$100
- .s
BOILER/REFRIGERATION
1-1ooM BTU
=
$12
-
s
air)
BOILER/REFRIGERATION
101-500M BTU
=
$20
-
1
**BOILER/REFRIGERATION
501-1,000M BTU
=
$25
-
s
1311
BOILER/REFRIGERATION
1,001-1,750M BTU
_
$35
-
s
2
BOILER/REFRIGERATION
+1,750M BTU
=
$60
-
s
GAS LOG, GAS INSERT, AND/OR GAS FIREP •
-
/
_
$10
-
s %C7
:jib
RANGE
-
_
$10
-
s
5
DRYER i -
-
_
$10
-
1
'6
FUEL BURNING WATER HEATER
-
, _
$10
. -
s
`17
MISCELLANEOUS FUEL BURNING APPLIANC
-
_
$10
-
s
L/1!
$
GAS PIPING (ea. outlet)
-
/
_
$1
-
s / 1r
3f
DUCT SYSTEMS
-
_
$10
-
$
*VENTILATING
FANS
-
_
$10
-
1
021
AIR HANDLER (DOES NOT include duct systems)
= or <10,000 C
=
$12
-
s
$22
AIR HANDLER (DOES NOT include duct systems)
>10,000 CFM
=
S15
-
s
'23
EVAPORATIVE COOLERS
-
_
$10
-
s
4
TYPE I HOOD
-
=
S50
-
s
TYPE II HOOD
-
_
$10
-
1
136
HEAT PUMP/AIR CONDITIONER
0-5 TONS
=
$12
-
s
ilib
AIR CONDITIONER
6-15 TONS
=
$20
-
s
:13213
AIR CONDITIONER
16-30 TONS
=
$25
-
s
:1329
AIR CONDITIONER
31 -SO TONS
=
835
-
s
M$ l
AIR CONDITIONER
+50 TONS
=
$60
-
s
14i
LPG STORAGE TANK
-
=
810
-
s
an
WOOD OR PELLET STOVE/INSERT
-
=
825
-
s
Spokane
NOTE: MINIM PERMIT FEE S 5.00
II
,4i�'
SIGNA��� y /
Subtotal
1/ "--
PLUS: PROCESSING FEE
$25.00
TOTAL PERMIT FEE DUE
$ --
CountyDepartment of Building& Planning
W. Broadway' Spokane. WA 99260
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Tel. No. (509) 456-3675 • Fax No. (509) 324-3198 * TDD No. (509) 324-3166
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programa or act
,may