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1995, 11-16 Permit App: 95009619 WoodstovePROJECT ADDRESS: OWNER: MAILING ADDRESS: CONTRACTOR: MAILING ADDRESS: q *5/0 DESCRIPTION OF WORK FUEL BURNING APPLIANCE 4 s ' S ,• r. VMS CONTACT • «<100000 >100 000 FUEL BURNING APPLIANCE . « <400 000 UNLISTED APPLIANCE ADDIRONAL CHARG UNLISTED APPLIANCE ADDITIONAL CHARG >400 o00 USED APPLIANCE ust meat WSEC's min. AFU • or <400 000 >,00000 USED APPLIANCE ust meet WSEC s min. AFU BOILER/REFRIGERATION BOILER/REFRIGERATION BOILER/REFRIGERATION BOILER/REFRIGERATION BOILER/REFRIGERATION GAS LOG GAS INSERT AND/OR GAS FIREPLA 1-100M ITU 101.500M ETU 501-1 000M ETU r� s1p LICENSE: Q C eO f L' / 7 0 PHONE: `a to - . �. city state 1 001-1.750M ITU +1.750A4 BTU MISCELLANEOUS FUEL BURNING APPLIAN GAS PIPING ea. outlet DUCT SYSTEMS VENTILATING FANS • • ES NOT include duct stems • Of < MAO AIR HANDLER AIR HANDLER ES NOT include duct stems > to 00o CRA •• EVAPORATIVE COOLERS TYPE I HOOD TYPE II HOOD HEAT PUMP/AIR CONDITIONER AIR CONDITIONER AIR CONDITIONER AIR CONDITIONER AIR CONDITIONER LPG STORAGE TANK WOOD OR PELLET STOVE/INSERT NOTE: MINIMUM PERMIT FEE IS SIGNATURE: 0-5 TONS 6-15 TONS 16-30 TONI 31-50 TONS +30 TONS Spokane County Department of Buildm= & Planning 1026 W. Broadway • Spokane, WA 99260 «••� Tel. No. (509) 456-3675 • Fu No. (509) 324-3198 • TDD No. (509) 324- in du •dmi••io• a. c mums* « •mP1oy S ia. b poge•s Spotass County does •cit ducrirniosu a• des basis of dusb�ry *w azasta-:.—= MWO3 4'eAio (1•DPY 70 OF 9" p mommiarirmis i mm moos S1oo . 5100 EN WWII tea® �saa® MIMI MI �a �aMIMI MINI MI �s WWI 1111101111811 IMES MIMI MI MinnMI WAIN -1121 WANES >20 • L60 $10 - 510 510 - 10 - 510 - 510 - 510 - 10 • VS • Subtotal PLUS: PROCESSING FEE TOTAL PERMIT FEE DUE / .s' �IHf�tNL i< { $1 AMOUNT 4