1998, 10-06 Permit App: 98009792 Gas Piping Outlets MECHANICAI&PERMIT APPLICATION '!c
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PROJECTPERMIT
ADDRESS: ,' - 3 A , /c "I USE:
OAR: PHONE (Daytime Contact):
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MAILING ADDRESS: /
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(Street) (City/State) (Zip)
CONTRACTOR: LICENSE:
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MAILING ADDRESS: PHONE:
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(Street) (City/State) (Zip)
#OF MUM-- COST/ AMOUNT
PLIDESCRIPTION OF WORK UNITS BY UNIT EQUALS
B02 FUEL BURNING APPLIANCE —OR <100,.000 X $12 — $
B03 FUEL BURNING APPLIANCE >100,000 X $15 — S
B04 UNLISTED APPLIANCE(ADDITIONAL CHARGE) —OR <400,.000 _ X $50 — S _
B04 UNLISTED APPLIANCE(ADDITIONAL CHARGE) >400,000 X $100 — S
B06 USED APPLIANCE(Must meet WSEC's min.AFUE rating) —OR<400,.000 X S50 — S
B07 USED APPLIANCE(Must meet WSEC's min.AFUE rating) >400,000 X $100 — $
B08 BOILER/REFRIGERATION 1-100M BTU X $12 — S
B09 BOILER/REFRIGERATION 101-500M BTU X 520 — S
B10 BOILER/REFRIGERATION 501-1,000M BTU X $25 — S
B11 BOILER/REFRIGERATION 1,001-1,750M BTU X $35 — S
B12 BOILER/REFRIGERATION +1,750M BTU X $60 — S
B13 GAS LOG,GAS INSERT,AND/OR GAS FIREPLACE - X $10 — S
B14 RANGE - X $10 — S _
B15 DRYER - X $10 — S
B16 FUEL BURNING WATER HEATER - X $10 — S
B17 MISCELLANEOUS FUEL BURNING APPLIANCE - X $10 — S _
B18 GAS PIPING(ea.Outlet) - ,7 X 51 — 5
B19 DUCT SYSTEMS - X $10 — S
B20 VENTILATING FANS - X S10 — $
B21 AIR HANDLER(DOES NOT include duct systems) —OR<10,000 CFM X $12 — S
B22 AIR HANDLER(DOES NOT include duct systems) >10,000 CFM X S15 — $
B23 EVAPORATIVE COOLERS - X $10 — S
B24 TYPE I HOOD - X S50 — S
B25 TYPE II HOOD - X S10 — S
B26 HEAT PUMP/AIR CONDITIONER 0-3 TONS X $12 — S
B27 AIR CONDITIONER 3-15 TONS X $20 — S
B28, AIR CONDITIONER 15-30 TONS X $25 — S
B29 AIR CONDITIONER 30-50 TONS X S35 — S
B30 AIR CONDITIONER +50 TONS X S60 — S
B31 LPG STORAGE TANK - X $10 — S
B32 WOOD OR PELLET STOVE/INSERT X S25 — S
METHOD OF PAYMENT SUBTOTAL
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y/yq __ PLUS PROCESSING FEL $ 25.00
0 CASH 0 CHECK 0 MEM 0 . . 0
FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT
OF A MAJOR CREDIT CARD TOTAL PERMIT FEE DUE
DATE: EXPIRES: MINIMUM PERMIT FEE IS$35.00
PLEASE MAKE CHECKS PAYABLE TO
BANKCARD NUMBER: SPOKANE COUNTY PERMIT CENTER
AUTHORIZED SIGNATURE:
`1\1 Spokane County Division of Building&Planning
1026 West Broadway Avenue*Spokane,WA 99260-0050
04A4k
Telephone No.(509)477-3675*Fax No. 324-3198*TDD No. (509)324-3166