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®
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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