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1996, 03-14 Permit App: 96001360 FurnacePROJECT ADDRESS: OWNER MECHANICAL PERMIT APPLICATION LAD c, MAILING ADDRESS: CONTRACTOR: N - MAILING ADDRESS: (street) TV7 r �"7 ) 0 i-.-e,,,Y st 'PHONE: 9, g -.S 57 yo (city/state) (EP) LICENSE: Ai It _torn HA (V7 1, I PHONE: 5 3 y_ )./9 7. S S�G�zcc� o /4) ec 9 7,0 / .�— Spokane County Division of Buildings 1026 W. Broadway • Spokane, WA 99260. -: Tel No. (509) 456-3675 • Pu No. (509) 456-4703 • TDD No. (509) 324-3166 PLEASE MAKE CHECKS PAYABLE TO: SPOKANE COUNTY PERMIT CENTER .....r... -...r h+Pl AMOUNT DPSCRIPTION OF WORK # OF UMTS ...an- •..a., COSr /UNIT B02 FUEL BURNING APPLIANCE ... <too.00 )512 _ .0......1 • • J) an 803 FUEL BURNING APPLIANCE sitcom° • $15 . , . B04 UNLISTED APPLIANCE (ADDITIONAL CHARGE) . or <400A $50 - • 805 UNLISTED APPLIANCE (ADDITIONAL CHARGE >400.000 S100 . , B06 USED APPLIANCE (Must !wet WSECs min. AFUE rating) . o, <s00u00 • $50 - • 807 USED APPLIANCE (Must meet WSECs min. AFUE rating) >400.000 • 5100 . • BOB BOILER/REFRIGERATION t -100/4B U $12 . • B09 BOILER/REFRIGERATION l0t-S00M WSJ s $20 . • B10 BOILER/REFRIGERATION sot-tpi BTU $25 . . Ell BOIIER/REFRIGERATION$35 toot-1asoM BTU - • 812 BOILER/REFRIGERATION +1.75GM BTU • $60 . B13 GAS LOG. GAS INSERT. AND/OR GAS FIREPLACE - • $10 . B14 RANGE - • $10 . • B15 DRYER - • $10 . • 816 FUEL BURNING WATER HEATER - • $10 . • B17 MISCEILINEOUSFUEL BURNING APPLIANCE -$10 - • 1318 GAS PIPING (ea. outlet) - SI . , B19 DUCTSYSTEMS - $10 . • B20 VENTILATING FANS - $ 10 . • B21 MR HANDLER (DOES NOT include duct systems) . or <10.000 CFM• $12 . • B22 MR HANDLER (DOES NOT include duct systems) >10.000 CFM • $15 . • B23 EVAPORATIVE COOLERS - $10 . • 132.4 'TYPE I HOOD - $50 . . 825 TYPE 11 HOOD - $ 10 . • 1326 HEAT PUMP/AIR CONDMONER o-5 TONS • $12 . , 827 AIROONDmONER 6-15TONs$20 . • i 828 MR CONDITIONER - 16-30TONs • $25 . • B29. AIR OONDMONER 31-3OTDNS • 5.35 - • Bao MR CONDrT7ONER TONS. $60 -;+SO 1331 LPG STORAGE TANK - • $10 . • 832 WOOD OR PELLET STOVE/INSERT - • $25 • SIGNATURE:. NOTE: MINIMUM PERMIT FEEIS$3S.00 Subtotal ) 0.00 PLUS: PROCESSING FEE $25.00 o_ ��i TOTAL PERMIT FEE DUE f , T7 ()r) Spokane County Division of Buildings 1026 W. Broadway • Spokane, WA 99260. -: Tel No. (509) 456-3675 • Pu No. (509) 456-4703 • TDD No. (509) 324-3166 PLEASE MAKE CHECKS PAYABLE TO: SPOKANE COUNTY PERMIT CENTER