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1994, 11-18 Permit App: 94011536 AC
- - ` MECHANICAL PERMIT APPLICATION qq.1/5 3 PROJECT ADDRESS: k= _ L OWNER: e�1 c,' .....„ 0 4 IPIIONE:9'* y- o j_ 2,/ MAILING ADDRESS: --5p114,-0 /,Lt Ctijt f� 9 cc!/ y (street) (city/state) r (zip) • CONTRACTOR:N),c x--z. .c_ LICENSE: A) k C p t1I 4....0 ) 4 . / PHONE: 4/_. I//7 -7 5 MAILING ADDRESS: E, 5 I 0 '3 / :.y��# n��� J J } 7goicz_ (street) �"` (cit state) (zip) # MULTI- COST DESCRIPTION OF WORK OF UNITS PLIED BY /UNIT sounta AMOUNT 1302 FUEL BURNING APPLIANCE =or<100,000 . $12 - s 803 FUEL BURNING APPLIANCE >1oo,000 $15 - s 1304 UNLISTED APPLIANCE(ADDITIONAL CHARGE) =or<400,000 = $50 - r 1305 UNLISTED APPLIANCE(ADDITIONAL CHARGE) >400,000 — $100 - s 1306 USED APPLIANCE(Must meet WSEC's min.AFUE rating) =or<400.000 . $50 - s B07 USED APPLIANCE(Must meet WSEC's min.AFUE rating) >400.000 . $100 - r 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 1,001-1,750M BTU . $35 - s B12 BOILER/REFRIGERATION +1,750M BTU . $60 - s B13 GAS LOG,GAS INSERT,AND/OR GAS FIREPLACE - . $10 - s B14 RANGE - . $10 - s B15 DRYER - . $10 - B16 FUEL BURNING WATER HEATER - . $10 - s B17 MISCELLANEOUS FUEL BURNING APPLIANCE - . $10 - s B18 GAS PIPING(ea.outlet) - $1 - s B19 DUCT SYS ISMS - . $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 1325 TYPE II HOOD - . $10 - s B26 HEAT PUMP/AIRCONDITIONER 0-5 TONS ) . $12 - s /o0,00 B27 AIR CONDITIONER 6-15 TONS . $20 - s B28 AIR CONDITIONER 16-30 TONS . $25 - s _ B29 AIR CONDITIONER 31-50 TONS . $35 - s 1330 AIR CONDITIONER +50 TONS $60 - s B31 LPG STORAGE TANK - . $10 - s B32 WOOD OR PELLET STOVE/INSERT - . $25 - $ NOTE: MINIMUM PERMIT FEE IS$35.00 Subtotal 1,,,,o 0 PLUS: PROCESSING FEE $25.00] SIGNATURE:.---g-,.......,e--(7.1.-t,.L f i/(4-.- TOTAL PERMIT FEE DUE $ 3 7, (3 0 PLEASE MAKE CI IECKS PAYABLE TO: Spokane County Division of Buildings SPOKANE COUNTY PERMIT CENTER 1026 W.Broadway •Spokane,WA 99260 Tel. No. (509)456-3675 •Fax No. (509)456-4703 •TDD No. (509)324-3166 masser\mechperm.hnd