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1995, 09-14 Permit App: 95007316 Gas Log, Piping
MECHANICAL PERMIT APPLICATION z5,131‘.0 ' 'ROIECI' ADDRESS: In Gl 1 O a -t-( 2Cx�, Lk /WNI,1t: .lobe e_ ar\ (AILING ADDRESS: r PHONE: (street) ?ONFI(ACFOR: 27-0 PERACE SHopPC i c (city/state) (zip) (AILING ADDRESS: C- /NO/ moA &o 2Li (streetl LICENSE: 12))n 12 -TO C VC1J GG) :L N\ 5 PHONE: `I aa- LL.--D(x O SPokp N E (*i 99&©(o . No. (509) 456-3675 - Fart No. (509) 456-7403 • TDD No. (509) 324-3166 m•.,eamechrcrm hnd DESCRIPTION OF WORK # OP UNITS ha - ruson COST (UNIT •OUALS AMOUNT 102 FUEL BURNING APPLIANCE = or <leopoo$12 - , 103 FUEL BURNING APPLIANCE >loo,000 $15 - , 104 UNLISTED FUEL BURNING APPLIANCE = or <roo.000 $50 - , 105 UNLISTED FUEL BURNING APPLIANCE >400,o00. 5100 - , 106 USED APPLIANCE (Must meet WSECs min. AFUE rating) = or U0o,000 $50 - , 107 USED APPLIANCE (Must meet WSEC's min. AFUE rating) >400mo51W • - , 108 BOILER/REFRIGERATION 1-1ooMBTU$12 - , 109 BOILER/REFRIGERATION 101-500M BTL/ $20 . , 110 BOILER/REFRIGERATION 301-I.000MBTU$25 Ill BOILER/REFRIGERATION L,001-1,750MBTU$35 • - , 112 BOILER/REFRIGERAIION +1,750MBTU$60 - , 113 GAS LOG, GAS INSERT, AND/OR GAS FIREPLACE - /$10 - r /0.00 t14 RANGE - $10 - , 115 DRYER - $10 - , 16 FUEL BURNING WATER HEATER - $10 - , i17 MISCELLANEOUS FUEL BURNING APPLIANCE - $10 - , 18 GAS PIPING (ea. outlet) - $1 - , :19 DUCT SYS IEMS -$10 - ,X70 , 20 VENTILATING FANS - $10 - , 21 AIR HANDLER (DOES NOT include duct systems) = or <10.000CFM$12 - , 22 AIR HANDLER (DOES NOT include duct systems) >10.000 CFM $15 - , 23 EVAPORATIVE COOLERS - $10 - , 24 TYPE I HOOD - $50 , 25 TYPE II HOOD -. $10 - , 26 IIEAT PUMP/AIR CONDITIONER o -S TONS$12 - , 27 AIR CONDITIONER 6-15 TONS$20 - , 28 AIR CONDITIONER - 16-3o oNs$25 - • 29 AIR CONDITIONER 3t-50'IONS$35 .., 30 AIR CONDITIONER +50 TONS$60 - , 31 LPGSTORAGETANK - $10 - , 32 WOOD OR PELLET STOVE/INSERT - • $25 - , SIGNATURE: okanc 26 NO7E: MINIMUM PERMIT FEE IS $35.00 Subtotal tJj,0O PLUS: PROCESSING FEE $25.00 TOTAL PERMIT FEE DUE $ �, OO County Division of Buildings W. Broadway • Spokane, WA 99260 PLEASE MAKE CHECKS PAYABLE TO: SPOKANE COUNTY PERMIT CENTER . No. (509) 456-3675 - Fart No. (509) 456-7403 • TDD No. (509) 324-3166 m•.,eamechrcrm hnd