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1995, 12-28 Permit App: 95010602 Mechanical Fixturesawa.vaat'1t11\."L rGzCMl 1 ArrLILA 11UIV PROJECT ADDRESS: -�- OWNER MAILING ADDRESS: L C� PHONE: .( (street) CONTRACTOR:Iv/ 0,41 MAILING ADDRESS: E - J 0 Tyr (street) DESCRIPTION OF WORK B02 FUEL BURNING APPLIANCE B03 FUEL BURNING APPLIANCE B04 UNLISTED APPLIANCE (ADDITIONAL CHARGE) BOd UNUSED APPLIANCE (ADDITIONAL CHARGE B06 USED APPLIANCE (Must meet WSECs min. AFUE rating) B07 USED APPLIANCE (Must meet WSECs min. AFUE rating) BOB BOILER/REFRIGERATION B09 BOILER/REFRIGERATION (city/state) / (zip) LICENSE: N / /V- n /-1 (� 7 6 k 1 PI IONS: i lc'1 l 14/ Q (city/state) (zip OF UNITS IMAM - Min BY C6 /UNIT rnuwu AMOUNT • or <100.000 >100.000 • or <400.000 >400.000 . • or <400.000 512 515 550 5100 >400.000 1-100M BTU 550 5100 B10 BOILER/REFRIGERATION B11 BOILER/REFRIGERATION 101-50O61 BTU S0t-1.0001.1 BTU 1.001-1.750M BTU 812 BOILER/REFRIGERATION B13 GAS LAG. GAS INSERT. AND/OR GAS FIREPLACE B14 RANGE B15 DRYER +1.730M 811.1 816 FUEL BURNING WATER HEATER B17 MISCELLANEOUS FUEL BURNING APPLIANCE 818 GAS PIPING (ea. outlet) B19 DUCT SYSTEMS 1 B20 VEWflI ATING FANS B21 AIR HANDLER (DOES NOT include duct systems) B22 AIR HANDLER (DOES NOT include duct systems) B23 EVAPORATIVE COOLERS ffi44 TYPE 1 HOOD B2S TYPE II HOOD B26 HEAT PUMP/AIR CONDmONER 827 AIR CONDITIONER . or <10.000 CFM >10.000 CFM 0-5 TONS B28 AIR CONDmONER B29 AIR CONDmONER 6-1S TONS 16-30 TONS B30 AIR CONDmONER 31 -SO TONS 1331 LPG STORAGE TANK +S0 TONS B32 WOOD OR PELLET STOVE/INSERT NOTE: MINIMUM PERMIT FEE IS S35.00 SIGNATURE: Spokane County Division of Buildings 1026 W. Broadway • Spokane. WA 99260 Tel. No. (509) 456-3675 • Pas No. (509) 456-4703 • TDD No. (509) 324-3166 r+rAoryir.a.+ 512 S20 525 535 560 510 S10 510 510 510 S1 510 510 512 515 510 550 510 512 520 525 535 411. 560 510 525 • 1 Subtotal 3/04)00 PLUS: PROCESSING FEE $25.00 TOTAL PERM IT FEE DUE S Ark,00 PLEASE MAKE CI IECKS PAYABLE TO: SPOKANE COUNTY PERMIT CENTER