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1995, 06-02 Permit App: 95003903 ACMECHANICAL PERMIT APPLICATION G` 5 _ 3c3D. PROJECT ADDRESS: r OWNER: Q MAILING ADDRESS - CONTRACTOR: 3 A (street) 'PIIONE: q � — 5/ 7 5 Le) ��0 3 (city/state) (zip) MAILING ADDRESS: g 6103 I �y (street) LICENSE: / dec ) JA ©) A / PI IONE: (city/state) (zip) Spokane County Division of Buildings 1026 W. Broadway • Spokane. WA 99260 Tel. No. (509) 456-3675 • Fax No. (509) 456-4703 • TDD No. (509) 324-3166 .ap.rV.rdp.n lased PLEASE MAKE CHECKS PAYABLE TO: SPOKANE COUNTY PERMIT CENTER DESCRIPTION OF WORK ,# !MULTI- OF UNITS Its...., COST /UNIT iouuA AMOUNT B02 FUEL BURNING APPLIANCE - or <100.000 . 512 - r B03 FUEL BURNING APPLIANCE > 1oo.000 515 - s 1304 UNLISTED APPLIANCE (ADDITIONAL CHARGE) - or <400,000 . 550 s 1305 UNLISTED APPLIANCE (ADDITIONAL CHARGE) >400.000 5100 s B06 USED APPLIANCE (Must meet WSECs min. AFUE rating) - or <400.000 . 550 - s B07 USED APPLIANCE (Must meet WSECs min. AFUE rating) >400.000 5100 . r 1 1306 BOILER/REFRIGERATION 1-100MBTU a 512 - 1 s 1 B09 BOILER/REFRIGERATION 101-500M BTU . 520 - s 1 B10 BOILER/REFRIGERATION 501-1.000M BTU . 525 - s B11 BOILER/REFRIGERATION t001 -1.750M BTU . 535 s B12 BOILER/REFRIGERATION +1,750M 131U . 560 . s i B13 GAS LOG. GAS INSERT. AND/OR GAS FIREPLACE - 510 . 1 s B14 RANGE - . 510 s B15 DRYER - 510 s B16 FUEL BURNING WATER HEATER - . 510 r B17 MISCELLANEOUS FUEL BURNING APPLIANCE - 510 r 1318 GAS PIPING (ea. outlet) - . Si - r 1119 DUCT SYSTEMS - . 510 - r B20 VENTILATING FANS - 510 . s 1 B21 AIR HANDLER (DOES NOT include duct systems) - or <10.00o CFM . 512 $ B22 AIR HANDLER (DOES NOT include duct systems) >10.000 CFM . $1S s 1123 EVAPORATIVE COOLERS - . 510 s B24 TYPE I HOOD - . 550 - s B25 TYPE II HOOD - . 510 . s 1326 HEAT PUMP/AIR CONDITIONER 0-5 TONS/ 512 s /0), ()o 1327 AIR CONDITIONER 6-1S TONS 520 - s 1328 AIR CONDITIONER 16-30 TONS 525 - s 1329 AIR CONDITIONER 31-50 TONS . 535 - s B30 AIR CONDITIONER +50 TONS . 560 - s 1131 LPG STORAGE TANK - 510 - s B32 WOOD OR PELLET STOVE/INSERT - . $25 s NOTE: MINIMUM PERMIT FEE IS $35.00 /7 SIGNATURE: ,�2�e -,-, �-Aivl.,4 Subtotal /.° 0 ) PLUS: PROCESSING FEE $25.00 TOTAL PERMIT FEE DUE $ e� 7. () Spokane County Division of Buildings 1026 W. Broadway • Spokane. WA 99260 Tel. No. (509) 456-3675 • Fax No. (509) 456-4703 • TDD No. (509) 324-3166 .ap.rV.rdp.n lased PLEASE MAKE CHECKS PAYABLE TO: SPOKANE COUNTY PERMIT CENTER