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1995, 03-03 Permit App: 95001105 Gas Log, Piping
MECHAVICIL PERMIT APPLICATION l�,- /DL✓ PROJECT ADDRESS: fl03 j_ Ptipaz-z9 --_ - OWNER: -- OST LPIIONE: 05y—��osy �C MAILING ADDRESS: '7) C,-4 G [ U7 (street) (city/state) (zip) CONTRACTOR: FALCO STOVE SHOP ;LICENSE:FALCOGC1 73DU PHONE: 926_8911 MAILING ADDRESS: E. 9310 SPRAGUE SPOKANE WI> 99206 (street) (city/state) (zip) # MULTI- COST ' j I DESCRIPTION OF WORK_ OF UNITS AL=B /UNIT_couwr,,_ AMOUNT 11302 IFUEL BURNING APPLIANCE =or<100.0001 I S12I - s 1 1303 !FUEL BURNING APPLIANCE >100,000 I i S151 - r 8041 UNITS I hD APPLIANCE(ADDITIONAL CHARGE) =or<400,000 . I $50 - , IB05;UL NISTED APPT_TANCE( Aran-r oNAL r.'I-ARG%) j >4004. i I . $100 ', 11306 IUSED APPLIANCE(Must meet WSECs min.AFUE rating) 1 =or<400.000 . I $50 - , I 11307 USED APPLIANCE(Must meet WSECs min.AFUE rating) I >4004000 I . $100 - , 11308 j BOILER/REFRIGERATION 1 1-100M BTU . $12 . , I 1B09 IBOILER/REFRIGERATION I tot-sooM gri I S201 - , I B10 1BOILER/REFRIGERATION 1501-1.000M.BTU • I $25 - _ 1B11 IBOILER/REFRIGERATION 11.001-1.750M BTU , • i $35 - , B12 BOILER/REFRIGERATION I +1.750M nru • I S60 - f B13(GAS LOG,GAS INSERT.AND/OR GAS FIREPLACE - 1 / $10 - , / 0 1314 RANGE - • $10 , B15 DRYER - • $101 , IB16 FUEL BURNING WATER HEATER - • $10 - , B17 MISCELLANEOUS FUEL BURNING APPLIANCE - • $10 - r B18 GAS PIPING(ea.outlet) - / . 51 - ' B19 DUCT SYSTEMS - . $$$1110021 10 . ' B20 VENTILATING FANS - . $10 - , jB21 AIR HANDLER(DOES NOT include duct systems) =or<10.000 CFM • $12 . : B22 LAIR HANDLER DOES NOT include duct tems >10.000CFM • $15 - , B23 EVAPORATIVE COOLERS - • $10 , B24 TYPE I HOOD - . $50 ' B25 TYPE II HOOD - $10 - , B26'HEAT PUMP/AIR CONDITIONER 0-5 TONS • $12 - _ B27 AIR CONDITIONER 6-15 TONS . $20 - , B28 AIR CONDITIONER 16-30 TONS $25 . , B29 AIR CONDITIONER 31-50 TONS • $35 - , 1330 AIR CONDITIONER +50 TONS . $60 - , B31 LG STORAGE TANK - . $10 - , B32 ,WOOD OR PELLET STOVE/INSERT - $25 - ' l NOTE:MINIM M PERMIT FEE IS$35.00 Subtotal / i PLUS: PROCESSING FEE $25.00 SIGNATURE: 177 /L(,( i v f'� t/ ' TOTAL PERMIT FEE DUE $ PLEASE MAKE CHECKS PAYABLE TO: Spokane County Division of Buildings SPOKANE COUNTY PERMIT CENTER 1026 W. Broadway' Spokane,WA 99260 Tel. No. (509)456-3675 * Fax No. (509)456-4703 'TDD No.(509)324— 66 mnster`mechperm.hnd S:eAl il, On 70 FRico