1995, 11-09 Permit App: 95009380 Gas Log, PipingF MECHANICAL PERMIT APPLICATION O 5 - �( 3
fPROJECT ADDRESS: . -J 30 L
OWNER: 1/U n n I c ., roc �j yhet. Yl S lPRO DAYTIME coterAcr 931 `o -5
MAILING ADDRESS: WCL�L c_4 /c -
(street) (sty state) (ap)
•
CONTRACTOR:A ( en
5u_ Shoo LICENSE: FZL Leo C7 e / 73 D it/
PHONE: 924-19 //
MAILING ADDRESS: /C%ptt Lc -e_
(s ) U
pc L 4 50zG
(crty state) (ap)
DESCRIPTION OF WORK OF &ITS:.
/UNIT
sa AMOUNT
FUEL BURNING APPLIANCE
. or <i00,000
112
- a
FUEL BURNING APPLIANCE
> too=11S
- a
' UNLISTED APPLIANCE (ADDPI'IONAL CHARG
. or <400,000
150
. s
UNLISTED APPLIANCE (ADDITIONAL CHARG
»OOe
,aa
.
1100
. a
USED APPLIANCE (Must meet WSEC's min. AFU
• or <400,000
350
. a
USED APPLIANCE (Must et WSEC's min. AFU
me
>400,000
.
3100
-
BOILER/REFRIGERATION
1-IOOM BTU
.
312
- a
BOILER/REFRIGERATION
101-500M BTU
320
• n
BOILER/REFRIGERATION
BOILER/REFRIGERATION •
BOILER/REFRIGERATION
GAS LOG, GAS INSERT, AND/OR GAS FIREPLA
RANGE
DRYER
FUEL BURNING WATER HEATER
MISCELLANEOUS FUEL BURNING APPLIANCE
GAS PIPING (a. outlet)
DUCT SYSTEMS
VENTILATING FANS
AIR HANDLER (DOES NOT include duct systems)
AIR HANDLER (DOES NOT include duct systems)
EVAPORATIVE COOLERS
TYPE I HOOD
TYPE R HOOD
HEAT PUMP/AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDI77ONER
AIR CONDITIONER
LPG STORAGE TANK
WOOD OR PELLET STOVE/INSERT
501-I,000M BTU
1,001-1,750M BTU
+1,750M BTU
l
1
125
135
160
110
110
110
110
110
13 or <10,000 CFM
NOTE' MINIM({M PERMIT FEJIS $33.00
SIGNATURE:
>10,000 CFM
0-5 TONS
6-15 TONS
16-30 TONS
31.50 TONS
+S0 TONS
•
•
Spokane County Department of Building & Planning
1026 W. Broadway • Spokane, WA 99260
Tel. No. (509) 456-3675 • Fax No. (S09) 324-3198 • TDD No. (509) 324-
Spokane
24Spokane Canty does not (ucrimin.0 on da bads or &seauy In the .dmissim to, or treatment of employm.a in, Its won= at 110i
tee) •-
11
110
510
112
SIS
110
150
110
112
520
$25
335
360
$10
$25
J
•
Subtotal % /
PLUS: PROCESSING FEE $25.00
TOTAL PERMIT FEE DUE $ 3 0 —
1
SEIVO OAOPV 7D
4