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1994, 10-20 Permit App: 94010404 FurnaceMECHANICAL PERMIT APPLICA'T'ION • I PROTECT ADDRESS: � 41 ? S. / OWNER: 1QX U t.1.II'' �—�1 1PIIONI?: "t n 22 — "t 2-44 -7 MAILING ADDRESS: o? `i ( Pcs rcs S PckK Yu Liu A 99 20(p CONTRACTOR: a l.Y ALIS MAILING ADDRESS: 1 `2_ 6. (street) (city/slate) (zip) -A IC C.0 LICENSE: STS � N2fl (..c (56 PHONE: (street) (city/state) (zip) COST 1)1:SGIur'1'ION QN WQRIC -_- . _ 1102 FUELBURNINGAI'PLIANCI: 1103 FUEL BURNING APPLIANCE 1304 UNLISTED FUEL BURNING APPLIANCE 1105 UNLIS'T'ED FUEL BURNING APPLIANCE 1106 USED APPLIANCE (Must meet WSI:C's min. AFUIi rating) 1107 USED APPLIANCE (Must meet WSEC's min. A1U1: rating) 1108 BOILER/REFRIGERATION 1309 BOILER/REFRIGERATION 1110 BOILER/REFRIGERATION B11 BOILER/REFRIGERATION 1312 BOILER/REFRIGERATION 1313 GAS LOG, GAS 1NSER'1'•,•AN1)/OR GAS EIRia'IiCI: 1114 RANGE 1115 DRYER 1116 FULL BURNING WATER I IENEER B17 MISCELLANEOUS FUEL BURNING APPLIANCE 018 GAS PIPINGL a. outlet) 1119 DUCT SYSTF.MS B20 VENTILATING FANS 1121 Alit I IANDIJ R (DOES NOT include duet systems) 1322 AIR I IANDL.ER (DOES NOT include duct systems) 1123 EVAPORATIVE C001_ERS 1124 TYPE! I IOOD B25 TYPE II 1100D 1126 HEAT ('UMP/AIR CONDITIONER 1127 AIR CONDi1'IONER B28 AIR CONDI'1'IONLR 1129 AIR CONDITIONER 1330 AIR CONDITIONER 1331 LPG STORAGE TANK 1332. WOOD OR PILLETSTOVI'JINSER'1' NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATUJIE: hn,i 2 a or <100.000 OP JMTS- 1 >100,000 = or <400,000 >400,000 = or <400,000 >400.000 1-100M ItrL 101 -500144 Ill'U 501-1,000M IITU 1,001 -1.750M IIrU + 1,750M I%IU • • • = or <10.000 CPM >10,0000,M 0-3 TONS 6-15 TONS 16- 30 TONS 31-SOTONS 4 50 TONS eicuL _LIINI'1'_ 512 515 550 5101 550 5100 512 520 525 535 560 510 510 510 $10 aulIM4 510 $1 510 510 $12 515 510 550 510 512 520 525 535 560 510 525� Subtotal PLUS: PROCESSING FEE TOTAL PER MTI' mut 1)UI' SPOKANE COUNTY DIVISION 011 BUILDINGS WEST 1026 BROADWAY AVENUE • SPOKANE. WA 99260 • (509) 456-3675 • _ __Ab10UN1 J 0-