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1995, 04-12 Permit App: 95002243 Gas InsertMECHANICAL PERMIT APPLICATION PROJECT ADDRESS: b gO©3 //-4,6 OWNER: 7R/?4/ PAN GT1G,€ MAILING ADDRESS: 8J©3 G (street) CONTRACTOR: 171-6-79-7011 E MAILING ADDRESS: IPIIONE: (city/state) 99a-l� (zip) LICENSE: PHONE: street (city/state) (zip) Tel. No. (509) 456-3675 ' Fax No. (509) 456-4703 ' TDD No. (509) 324-3166 master\mechperm.hnd D DESCRIPTION OF WORK # OF UNITS mum- PLIED BY COST /UNIT sou AMOUNT B02 FUEL BURNING APPLIANCE = or <100,000= $12 - s 1303 FUEL BURNING APPLIANCE >100,000$15 - s B04 UNLISI ED APPLIANCE (ADDITIONAL CHARGE) = or <400,000= $50 - s B05 UNLISIED APPLIANCE (ADDITIONAL CHARGE) >400,000= $100 - s B06 USED APPLIANCE (Must meet WSEC's min. AFUE rating) = or <400,000= $50 - s 1307 USED APPLIANCE (Must meet WSEC's min. AFUE rating) >400.000= $100 - s B08 BOILER/REFRIGERATION 1-1ooM BTU $12 - s B09 BOILER/REFRIGERATION 101-500M BTU $20 - s B10 BOILER/REFRIGERATION 501-1,000M BTU$25 - s B11 BOILER/REFRIGERATION 1,o01 -1,750M BTU$35 - s B12 BOILER/Rrr) FRIGERA-TJON +1,750M BTU = $60 - s /c , 00 B13 GAS LOG,GAS INSERT, AND/OR GAS FIREPLACE — _ $10 - s 4 B14 RANGE — _ $10 - s B15"' DRYER — _ $10 - s B16 FUEL BURNING WATER HEATER —$10 - s B17 MISCELLANEOUS FUEL BURNING APPLIANCE —_ $10 - s B18 GAS PIPING (ea. outlet) — $1 - s B19'' DUCT SYS I"EMS — $10 - s B20 VENTILATING FANS — $10 - s B21 AIR HANDLER (DOES NOT include duct systems) = or <10.000 CFM= $12 - s B22 AIR HANDLER (DOES NOT include duct systems) >10.000 CFM = $15 - s B23 EVAPORATIVE COOLERS — $10 - s B24 TYPE I HOOD —$50 - s B25 TYPE II HOOD —_ $10 - : B26 HEAT PUMP/AIR CONDITIONER 0-5 TONS= $12 - s B27 AIR CONDITIONER 6-15 TONS= $20 - : B28 AIR CONDITIONER 16-30 TONS$25 - s B29 AIR CONDITIONER 31-50 TONS$35 - s B30 AIR CONDITIONER +SOTONs$60 - $ B31 LPG STORAGE TANK — $10 - s B32 WOOD OR PELLET STOVE/INSERT — $25 - s Spokane 1026 NOTE: MINIMUM PERMIT PEE IS $35.00 SIGNATURE: p�� Subtotal / (�,oe PLUS: PROCESSING FEE $25.00 TOTAL PERMIT FEE DUE $ JJ• C( County Division of Buildings W. Broadway ' Spokane, WA 99260 PLEASE MAKE CHECKS PAYABLE TO: SPOKANE COUNTY PERMIT CENTER Tel. No. (509) 456-3675 ' Fax No. (509) 456-4703 ' TDD No. (509) 324-3166 master\mechperm.hnd D