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2004, 07-16 Permit App: BLD-04-07088 Mechanical FixturesMECHANICAL PERMIT APPLICATION PROJECT ^� p ADDRESS: L Li I S Al L L 17- O ETff .1 " PERMIT USE: OWNER:-p60PHONE L 2 IV)�nl5a� (Daytime Contact): (-a`/ 1 9Z2.-L/I7Z MAILING AD S ESSAY Eu z y. $ C Tj-/ S.5 -96/4410E / L1/4-3 4 . 1 r/ Z-/ 2. H (Street) (Ci /State) (Zip) CONTRACTOR. /c LLL Heltll� G- LICENSE: MAILING ADDRESS. PHONE: (Street) (C ty/State) (Zip) DESCRIPTION OF WORK # OF UNITS MULTI- PeyD COST/ UNIT EQUALS AMOUNT FUEL BURNING APPLIANCE - = OR <100,.000 X $12 = $ FUEL BURNING APPLIANCE >100,000 X $15 = $ UNLISTED APPLIANCE (ADDITIONAL CHARGE) = OR <400.000 X $50 = $ UNLISTED APPLIANCE (ADDITIONAL CHARGE) >400,000 X $100 = $ USED APPLIANCE (Must meet WSEC's min. AFUE rating) = OR <400,.000 X $50 = $ USED APPLIANCE (Must meet WSEC's min. AFUE rating) >400,000 X $100 = $ BOILER/REFRIGERATION 1-100M BTU X $12 = $ BOILER/REFRIGERATION 101-500M BTU X $20 = $ BOILER/REFRIGERATION 501-1,000M BTU X $25 = $ BOILER/REFRIGERATION 1,001- 1,750M BTU X $35 = $ BOILER/REFRIGERATION +1,750M BTU X $60 = $ GAS LOG, GAS INSERT, AND/OR GAS FIREPLACE - X $10 = $ RANGE - X $10 = $ DRYER - X $10 = $ FUEL BURNING WATER HEATER - X $10 = $ MISCELLANEOUS FUEL BURNING APPLIANCE • - X $10 = $ GAS PIPING (ea. Outlet) - I X $1 = $ DUCT SYSTEMS - X $10 = $ VENTILATING FANS - X $10 = $ AIR HANDLER (DOES NOT include duct systems) = OR <10,000 CFM X $12 = $ AIR HANDLER (DOES NOT include duct systems) >10,000 CFM X $15 = $ EVAPORATIVE COOLERS - X $10 = $ TYPE I HOOD - X $50 = $ TYPE II HOOD - X $10 = $ HEAT PUMP/AIR CONDITIONER 0-3 TONS I 1 X $12 = $ AIR CONDITIONER 3-15 TONS X $20 = $ AIR CONDITIONER 15-30 TONS X $25 = $ AIR CONDITIONER 30-50 TONS X $35 = $ AIR CONDITIONER +50 TONS X $60 = $ LPG STORAGE TANK - X $10 = $ WOOD OR PELLET STOVE/INSERT - X $25 = $ METHOD OF PAYMENT SUBTOTAL ASH [24LyASH ❑ CHECK ❑ VISA ❑ MASTERCARD ❑ DISCOVER PLUS: PROCESSING FEE $ FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT OF A MAJOR CREDIT CARD SUBTOTAL: MINIMUM PERMIT FEE IS $35.00 DATE: EXPIRES: PLUS: 16% REGIONAL PLANNING BANKCARD NUMBER: SURCHARGE AUTHORIZED SIGNATURE: TOTAL PERMIT FEE DUE LY /� Spokane County Department of Building and Planning 1026 West Broadway Avenue Spokane, WA 99260-0050 Telephone No. (509) 477-3675 * Fax No. 477-7198 TDD No. (509) 477-7133