2003, 05-22 Permit App: BD03-501 Mechanical Fixtures05/22/03 09:31 FAX 509 535 0634 Gensco Spokane
(oae -00.37
atm.
pp O5 -,5b1
BANACARD NUMBER:
AUTHORIZED SIGNATURE:
MAY 19 2003 09:25
gaff ,gid
This document originally contained
confidential credit card information which
was redacted pursuant to RCW 19.255.010
and the original document destroyed
pursuar 959S9Ag 2o14-030. PPGE.O
1.
o -S
DESCRIPTION OF WORK
PROJECT,
ADDRESS: to')I-( QoVI, ct,
N
PERMIT
USE CO Na V-+ SAV'YIa-CelE(Q,c4--�-IC-t
OWNER:
li0. 1-yn✓1
AMOUNT
PHOpNE ((Da me Contact):
WIL (,2n VS'1-LISA
MAILING ADO ESO:
SS�d tall Pirw4Or CA--
Wit'Arink
99031
(street)
IWw
Scity/state
•(zip)
ffA'-RearJnem P4L5
LICENSE C T F ICP 9 3
EFFIGP14S a M gg1.-S1
MAILING ADDRESS:
Wal\ E. Brbadvus�
Spdcxne.,WA g9alto
PHON C
• 6oci) alto-5to15
$19
•
(street)
(city/state)
(2iW)
X
$50
BANACARD NUMBER:
AUTHORIZED SIGNATURE:
MAY 19 2003 09:25
gaff ,gid
This document originally contained
confidential credit card information which
was redacted pursuant to RCW 19.255.010
and the original document destroyed
pursuar 959S9Ag 2o14-030. PPGE.O
1.
o -S
DESCRIPTION OF WORK
ser atm
N
COST
EQUALS
AMOUNT
1 FUEL. BURNING APPLIANCE
• OR<100,000
4
X
$15
id
2 FUEL BURNING APPLIANCE
.100,000
X
$19
=
3 UNLISTED APPLIANCE (ADDITIONAL FEE)
=OR400,000
X
$50
4
UNLISTED APPLIANCE (ADDITIONAL FEE)
>400,000
X
$100
5
8
USED APPLIANCE(WSEC min. AFUE rating)
=0Rc400,000
X
$50
c
USED APPLIANCE(WSEC mkl. AFUE retina)
>400,000
X
5100
=
7
BOILER/REFRIGERATION
1-100M BTU
X
$15
-
8
BOILER/REFRIGERATION
101-000M BTU
_
X
$28
`
9
SOLER/REFRIGERATION
501-1,000M BTU
X
$39
10
BOR.ER/REFRIGERATION
1001-1,750M BTU
X
$57
=
11
BOILER/REFRIGERATION
+1750M BTU
X
595
-
12
GAS LOCA GAS INSERT, GAS FIREPLACE-
,
X
j
$10
10
RANGE
-
X
$10
-
14
DRYER
-1
X
$10
c
15
FUEL BURNING WATER HEATER-
X
$10
16
MISCELLANEOUS FUEL BURNING APPL
-
X
j
$10
•
17
OAS PIPING (ea. OuBet)
_
X
$1
a
it
18
DUCT SYSTEMS
0'
X
$10
=
-
19
VENTILATING FANS
-
X
5102
=
20
AIR HANDLER (DOES NOT Included uciMg)
=ORc10,900CFM
X
S12
21
AIR HANDLER (DOES NOT Include ducting)
>10,000CFM
X
$19
=
22
EVAPORATIVE COOLERS-
X
$10
a
23
TIDE I HOOD
-
X
350
=
24
TYPE ti HOOD-
X
312
=
25
HEAT PUMP/AIR CONDITIONER
03 TON
X
312
=
26
AIRCONDMONER
3-15 TON
X
.
$20
=
27
AIR CONDITIONER
15-30 TON
X
325
_
28
AIR CONDITIONER
30-50 TON
X
$35
a
29
AIR CONDMONER
+50TON
X
$60
=
30 LPG
STORAGE TANK
-
X
510
31
WOOD OR PELLET STOVE/INSERT-
X
$10
=
32
WOOD STOVE - FREE STANDING-
X
.
$25
0
DATE:
SUBTOTAL
IZ oo
.A�
CASH 0 CiEcZLicED,
Ia73
rANt
OF A MVO& CREDIT
5 -2Z -..o3.
CARD G
�0 I
PLUS PROCESSING
FEE
$35.00
TOTAL PERMIT FEE
DUE
59.60
BANACARD NUMBER:
AUTHORIZED SIGNATURE:
MAY 19 2003 09:25
gaff ,gid
This document originally contained
confidential credit card information which
was redacted pursuant to RCW 19.255.010
and the original document destroyed
pursuar 959S9Ag 2o14-030. PPGE.O
1.
o -S
75 A'2"
C /7037<C.