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2004, 06-30 Permit App: BLD-04-04811 ACMECHANICAL PERMIT APPLICATION PROJECT y ADDRESS: II PER USEtJIIT G'M` Irry " 1 OWNE': i14r PHONE (Daytirto ): 76, ce MAILING ADDRESS (16 E L_ Street Ci /State Z. C CTOR: ttI-,7C✓�ctc.- LICENSE: OC7i y .)3544 3 — ec kig MY 000ex. . MAILING ADDRESS: ✓ PHONE. - +4 r .?-akt (1 ° I ' - 192/(2 (Street) SCity/State) (Zip) DESCRIPTION OF WORK # OF UNITS MULTI- PByn er COST/ UNIT EQUALS AMOUNT FUEL BURNING APPLIANCE = OR <100..000 X $12 = $ FUEL BURNING APPLIANCE >100,000 X $15 = $ " UNLISTED APPLIANCE (ADDITIONAL CHARGE) = OR <400,.000 X $50 = $ UNLISTED APPLIANCE (ADDITIONAL CHARGE) >400,000 X $100 _ $ USED APPLIANCE (Must meet WSEC's min. AFUE rating) = OR <400,.000 X $50 = $ USED APPLIANCE (Must meet WSEC's min. AFUE rating) >400,000 X $100 = $ BOILER/REFRIGERATION 1.100M BTU X $12 = $ BOILER/REFRIGERATION 101-500M BTU X $20 = $ BOILER/REFRIGERATION 501-1,000M BTU X $25 = $ BOILER/REFRIGERATION 1,001- 1,750M BTU X $35 -- $ BOILER/REFRIGERATION +1,750M BTU X $60 $ GAS LOG, GAS INSERT, AND/OR GAS FIREPLACE - X $10 = $ RANGE - X $10 = $ DRYER - X $10 = $ FUEL BURNING WATER HEATER - X $10 = $ MISCELLANEOUS FUEL BURNING APPLIANCE - X $10 = $ GAS PIPING (ea. Outlet) - X $1 = $ DUCT SYSTEMS - X $10 = $ VENTILATING FANS - X $10 = $ AIR HANDLER (DOES NOT include duct systems) = OR <10,000 CFM X $12 - $ AIR HANDLER (DOES NOT include duct systems) >10,000 CFM X $15 = $ EVAPORATIVE COOLERS - X $10 = $ TYPE I HOOD - X $50 - $ TYPE II HOOD - X $10 = $ HEAT PUMP/AIR CONDITIONER 0-3 TONS ( X $12 = $ ! 2 AIR CONDITIONER 3-15 TONS X $20 = $ AIR CONDITIONER 15-30 TONS X $25 = $ AIR CONDITIONER 30-50 TONS X $35 = $ AIR CONDITIONER +50 TONS X $60 = $ LPG STORAGE TANK • X $10 = $ WOOD OR PELLET STOVE/INSERT - X $25 = $ METHOD OF PAYMENT SUBTOTAL IICASH 0 CHECK 0 VISA 0 MASTERCARD ❑ DISCOVER PLUS: PROCESSING FEE $ 25.00 FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT OF A MAJOR CREDIT CARD SUBTOTAL: MINIMUM PERMIT FEE IS $35.00 DATE: EXPIRES: PLUS: 16% REGIONAL PLANNING BANKCARD NUMBER: SURCHARGE AUTHORIZED SIGNATURE: TOTAL PERMIT FEE DUE Spokane County Division of Building & Code Enforcement 1026 West Broadway Avenue' Spokane, WA 99260-0050 Telephone No. (509) 477-3675 * Fax No. 477-7198 * TDD No. (509) 477-7133