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1996, 09-05 Permit App: 96007382 Gas Log, PipingYU:LW\ 1\11L.AL I'LICMI1 A► I'LICA'l'ION 'ItoJECI' ADDRESS: &Zit& NISSiOit9 1WNI:12: M4&i.e f7FILSC !PHONE: `7Z4, '5613' TAILING ADDRESS: >AnA�t+ /(� e oeiefr /� (street) I_ (ciity/state)4fJ H2' (Zip) :ON -:ON -TRACTOR: art 2 ►o1V -r)= ERRAcc S! op `.7 pC /MC f LICENSE: 5, (712-1-C_.).; G co :i N\5 PHONE: `1 aa- 'AILING ADDRESS: C. IR/DI Moll i 67-on2c,1 LI ¶31-)ok i m C toil 9990o (street) (city/state) (zip :I. No. (509) 456-3675 • Fax No. (509) 456-7403 • 11)0 No. (509) 324-3166 mn.aAmceh1crm hnd 12ESClill'1'ION OP WORK Y OF YN.T- cos I' 102 FUEL BURNING APPLIANCE = or <100.000512 - ICU FUEL BURNING APPLIANCE >100.000515 - 104 UNLISTED FUELBURNING APPLIANCE = or <400.000550 - 105 UNLISTED FUEL BURNING APPLIANCE >400.000 $100 - 106 USED APPLIANCE (Must meet WSECs min. AFUE rating) = or <400.000550 - 107 USED APPLIANCE (Must meet WSECs min. AFUE rating) >400.000$100 - 108 BOILER/REFRIGERATION 1-100MBtU512 - 109 BOILER/REFRIGERATION tot -500M 1111• 520 - 110 BOILER/REFRIGERATION 501-1.000M 13111 525 - 111 BOILER/REFRIGERATION tool —t.750Mmv535 - 112 BOILER/REFRIGERATION +1.750M 8111 • 560 - 113 GAS LAG. GAS INSERT, AND/OR GAS FIREPLACE - 510 -lo 114 RANGE -510 - 315 DRYER -510 - 116 FUELBURNING WATER HEATER -510 - ;17 MISCELLANEOUS FUEL BURNING APPLIANCE -510 - ;18 GAS PIPING (ea. outlet)- 51 - , I :19 DUCT SYSTEMS -510 - :20 VENIILAIINGFANS -510 - 21 AIR LIANDLER (DOES NOT include duct systems) = or <10.000 CFM512 - 22 AIR IIANDLER (DOES NOT include duct systems) >10.000 C1M515 - 23 EVAPORATIVE COOLERS - 510 - 24 TYPE 11100D - 550 - 25 TYPE IIILOOD -• 510 - 26 HEAT PUMP/AIR CONDITIONER 0—SONS$12 - 27 AIR CONDITIONER 6-157oNs520 - 28 AIR CONDITIONER 16-30 TONS525 - 29 AIR CONDFIIONER 31-50 TONS535 - 30 AIR CONDITIONER - +50TONS560 - 31' LPG STORAGE TANK - 510 - 32 WOOD OR PELLET SIU VE/INSERT - 525 - ,okane 126 NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE: Subtotal PLUS: PROCESSING FEE $25.00 TOTAL PEItMnn FEE DUE 5G0 County Division of Buildings W. (Broadway • Spokane, WA 99260 PLEASE MAKE CIIECKS PAYABLE TO: SPOKANE COUNTYPERMTF CENTER :I. No. (509) 456-3675 • Fax No. (509) 456-7403 • 11)0 No. (509) 324-3166 mn.aAmceh1crm hnd