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1996, 01-09 Permit App: 96000154 Furnace, PipingMECHANICAL PERMIT APPLICATION PROJECT ADDRESS: / )) (o OWNER: MAILING ADDRESS: • CONTRACTOR: MAILING ADDRESS: (street) -t,4 /C) (street) (PHONE: -1.Q _ j.( _ 9 9 r / f (city/state)) (zip) • LICENSE: 6 ( / Qt` 7 An ---)C, l PHONE: S /1 ' _17 1 7 tau (city/state) (tip) 7 DESCRIPTION OF WQRK OF UNITS maxi- .Lao iv CX5 /UNIT 1......,....1 AMOUNT B02 FUEL BURNING APPLIANCE - or <100.000 ) 512 . . A.,3, (pa B03 FUEL BURNING APPLIANCE >100.000 fa 515 - . _ B04 UNLISTED APPLIANCE (ADDITIONAL CHARGE) • or <400.000 • 550 . . BGS UNLISTED APPLIANCE (ADDITIONAL CHARGE) >400.000 . 5100 . . 806 USED APPLIANCE (Must meet WSEC:'s min. AFUE rating) • or <400.000 . 550 . . B07 USED APPLIANCE (Must meet WSECs min. AFUE rating) >400.000 • 5100 . . BOB BOILER/REFRIGERATION 1-100ts BTU 512 - . B09 BOILER/REFRIGERATION 10t -500M BTU 520 - . B10 BOILER/REFRIGERATION sol -1.000M BTU 525 - . 811 BOILER/REFRIGERATION toot-1.7s0M BTU 535 . . 812 BOILER/REFRIGERATION +1,750M BTU S60 . . 1313 GAS LOG. GAS INSERT. AND/OR GAS FIREPLACE - S10 . . BI4 RANGE - 510 . . B1S DRYER - 510 - . B16 FUEL BURNING WATER HEATER - 510 . . B17 MISCELLANEOUS FUEL BURNING APPLIANCE - 510 . . B18 GAS PIPING (ea. outlet) - n_ 51 . . .5 , 0 (3 B19 DUCT SYSTEMS - 510 . . 820 VENTILATING FANS - 510 . . 821 AIR HANDLER (DOES NOT include duct systems) • or <10.000 CFM 512 - . B22 AIR HANDLER (DOES NOT include duct systems" >101X10 CFM 515 - . B23 EVAPORATIVE COOLERS - . 510 . . B24 TYPE I HOOD - 550 - . p25 TYPE II HOOD - 510 - . B26 HEAT PUMP/AIR CONDITIONER 0-5 TONS . 512 - . B27 AIR CONDITIONER 6-15 TONS 520 - . B28 AIR CONDITIONER 16-30 TONS • 525 . . B29 AIR CONDITIONER 31-5OTONS 535 . . 830 AIR CONDITIONER +5O TONS S60 . . B31 LPG STORAGE TANK - 510 . . an OR PELLET STOVE/INSERT - 525 . . NOTE: MINIMUM PERMIT FEE IS $35.00 • SIGNATURE: lis __----tet-v._-0-i�J 4A-76—TOTAL Subtotal 09 '/. 4 d PLUS: PROCESSING FEE $25.00 PERMIT FEE DUE S it g, /),/) Spokane County Division of Buildings 1026 W. Broadway • Spokane. WA 99260 ToL No. (509) 456-3675 • Fax No. (509) 456-4703 • TDD No. (509) 324-3166 SMONStaidostalsad PLEASE MAKE CI IECKS PAYABLE TO: SPOKANE COUNTY PERMIT CENTER