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1995, 06-29 Permit App: 95004753 ACV &HANICAL PERMIT APPLICATION PROJECT ADDRESS: OWNER: > / (? � //) MAILING ADDRESS: /70 9 e_XL.//1I�J CONTRACTOR: (street) A & M AL4TY #T6. & ELEC.-WC. E 12718 INDIANA AVE. MAILING ADDRESS: SPOKANE WA 99216 /'PHONE: qo 2/- 7 9 7 7 At) • ((' (city/state) (sip) 4 LICENSE: AMQUAHE 1 9211 GENERAL PHONE: 9 2 8 - 2100 (street) (city/state) (zip) SIGNATURE: 6 SPOKANE COUNTY DIVISION OF BUILDINGS WEST 1026 BROADWAY AVENUE • SPOKANE, WA 99260 • (509) 456-3675 m••terlmechperm.hnd DESCRIPTION OF WORK # OF UNITS •••en- rrao.r COST /UNIT AMOUNT LI 1302 FUEL BURNING APPLIANCE - or <100.000512 . • 1303 FUEL BURNING APPLIANCE >100.000515 , 1304 UNLISTED FUEL BURNING APPLIANCE - or <400,000• 550 - • 1305 UNLISTED FUEL BURNING APPLIANCE >400,000• $100 . • 1306 USED APPLIANCE (Must meet WSEC's min. AFUE rating) - or <400,000• 550 - • 1307 USED APPLIANCE (Must meet WSEC's min. AFUE rating) >400,0005100 - • 1308 BOILER/REFRIGERATION t -100M BTU512 . • 1309 BOILER/REFRIGERATION lot -500M oru520 . • 1330 BOILER/REFRIGERATION 501-1.000M lrru525 - , Bit BOILER/REFRIGERATION loot -1.750M BTU535 . • B12 BOILER/REFRIGERATION +1,750M 13113$60 , B13 GAS LOG. GAS INSERT, AND/OR GAS FIREPLACE -510 - • B14 RANGE -510 . • 1315 DRYER -510 . • 1316 FUEL BURNING WATER HEATER -• 510 . • 017 MISCELLANEOUS FUEL BURNING APPLIANCE -510 - , 1318 GAS PIPING (ea. outlet' -• 51 . • 1319 DUCT SYSTEMS -510 . • 1320 VENTILATING FANS -510 . • 1321 AIR HANDLER (DOES NOT include duct systems) - or <10,000CPM512 - • 1322 AIR HANDLER (DOES NOT include duct systems) >10,000CPM• 515 . • 1323 EVAPORATIVE COOLERS -• 510 . • 1324 TYPE I HOOD -550 - • B25 TYPE II HOOD -$10 . • 1326 HEAT PUMP/AIR CONDITIONER 0-5TONS /• 512 . • /L9 ,r7 1327 AIR CONDITIONER 6-15 TONS. 520 - • B28 AIR CONDITIONER 16-30 TONS525 . • 1329 AIR CONDITIONER 31-50 TONS. 535 . • 1330 AIR CONDITIONER +50 TONS$60 - • 1331 LPG STORAGE TANK -= 510 . , 1332 WOOD OR PELLET STOVE/INSERT -525 - • NOTE: MINIMUM PERtVIT FEE IS $35.00 z A 1 n .— -- Subtotal /o .C( PLUS: PROCESSING FEE $25.00 TOTAL PERMIT FEE DUE $j, SIGNATURE: 6 SPOKANE COUNTY DIVISION OF BUILDINGS WEST 1026 BROADWAY AVENUE • SPOKANE, WA 99260 • (509) 456-3675 m••terlmechperm.hnd