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1995, 01-23 Permit App: 95000346 Gas Log, Piping, MECHANICAL PERMIT APPLICATION CT ADDRESS: O, F. E. E72^(e- Et: /C)U »h r // Ps 'PHONE: 40 ADDRESS: tACTOR: KG ADDRESS: •9; 7- 3(_ 14WJ (street) L/tty7i to �r�d��is' (city/state) (zip) /aaS- E. 7 rep -f (street) LICENSE: PHONE 1-A v/2iPc i?P.t -rt. 536 -Fr 36,/ ?` 5 f4 ,SPo &a ve e . 9'c 2 h 1 (city tate) . (�P) -�� r�':': ->i�aYl�':'?? .rt. DESCRIPTION OF WORK # mum- OF UNITS nix COSP /UNTI' . ow •y�x. °<. ::'>:.:. ' . AMOIINT , JIMBURNING APPLIANCE or <100,000 $12 i JELBURNINGAPPLIANCE >100.000 $15 - , z> T l^° :''.' i -,3. ' . a,; NIISTEDFUEL BURNING APPUANCE n or.C400,000 • $50 t ..'.?g: T ~ KLLS EDFUEL.BURNINGAPPIIANCE >400,000 • uao :. -� `• SED APPLIANCE (Must most WSHC s mla. AFUE mina) - et <wo,wo • S5o „-F SED APPLIANCE (Must meet WSECs min. AFUE rating) >mow $100 . , it..; DILER/REPRIGERATION 11r- 1-to01[U • $12 - • -0cl;; DI ER/REFRIGERATION 101-$00u BTU • S20 _ , ,' r' `4:4 OILER/REFRIGERATION so1-1A00MB U• S2S - • %(il:�.-� •. OILER/REFRIGERATION 1.001-1.750M my • 175 _ • { . rii'• OILER/REFRIGERATION +1,7soM13TU • $60 . 1 AS LOG, GAS INSERT, AND/OR GAS FIRFI'LACE - / $10 - • `y'o...0 ,- i .'l!; .: ANGE - $10 - -,.1 .!'. • - ','? , IRYER - • $10 , a"-_... f_:S;i' UELBURNING WAIt1tHEATER - $10 - , 4." ;4e ULSCEII.ANEOUSFUEL BURNING APPLIANCE - $10 _ , tAS PIPING (ea. outlet) - / $1 - • ivoo`%(-"'' IUCTSYSTEMS - • $10 • S 'r _1 r �? 'ENTHATINGFANS - • $10 - • IRHANDLER (DOES NOT indudaduct systems) - (lc <10,003OW a $12 . ,. ??:;:''' ?;.'. t; 1 JR HANDLER (DOES NOT include duct systems) >to,000 ceu $15 - , - .rVAPORATIVE COOLERS - - • $10 $50 - ; • -.-.�.-: i`..a•�!1� ; •+, a o j YPHIHOOD WEE HOOD - $10 - •" ._ 1 [EAT PUMP/AIR CONDITIONER o -s ToM S12 t j: ;ir• OR CONDMONER s-15TOta $20 . • ..• ( UR CONDITIONER a -w Tow S25 - • I ••;::,_ ',; LIR CONDMONER 31-50TORS $35 - , 'LIR CONDMONER 450TOw S60 - • 4.. . ;_4 -PG STORAGE TANK - $10 - i WOOD OR PELLET STOVE/INSERT - S25 - , 1 `'. ril ` 'TOTE: MINIMUM PER T.1'ESiIsS3S.U) / // .-/ Subtotal // c'e) PLUS: PROCESSING FEE $25.00 TOTAL PERMIT FEE DUE $ -CG' ;IGNATURE: ,•' `/t Mice < SPOKANE COUNTY DIVISION OF BUILDINGS