1994, 09-21 Permit App: 94009261 Mechanical Fixtures \a MECHANICAA. PERMIT APPLICATION gLi A -z(,, J
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PROJECT ADDRESS: . c //60'' '' - `'h Q 3r'J'�" aoct Cq t L
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MAILING ADDRESS: / .// ` ,_../„.--(._. .2-,1... �,2 /
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CONTRACTOR: �� LICENSE:
P IONE:
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MAILING ADDRESS: � , .���%� (�(��- ���1 C�
(street) (city/state) (zip)
# MULTI- COST
DESCRIPTION OF WORK OF UNITS mum sr /UNIT souAss AMOUNT
1302 FUEL BURNING APPLIANCE =or<100.000 I _ $12 - s
1303 FUEL BURNING APPLIANCE >100,000 = $15 - s
1304 UNLISIED APPLIANCE(ADDITIONAL CHARGE) =or<400,000 = $50 - s
1305 UNLISIED APPLIANCE(ADDITIONAL CHARGE) >400,000 = $100 - s
1306 USED APPLIANCE(Must meet WSEC's min.AFUE rating) =or<400,000 = $50 - s
1307 USED APPLIANCE(Must meet WSEC's min.AFUE rating) >400,000 = $100 - s
1308 BOILER/REFRIGERATION 1-100M BTU = $12 - r
1309<BOILER/REFRIGERATION 101-500M BTU = $20 - s
1310 BOILER/REFRIGERATION 501-1,000M BTU = $25 - s
1311 BOILER/REFRIGERATION Loot-1,750M BTU = $35 - s
B12 BOILER/REFRIGERATION +1,750M BTU = $60 - s
1313 GAS LOG,GAS INSERT,AND/OR GAS FIREPLACE - _ $10 - s
1314 RANGE - _ $10 - s
1115'DRYER - _ $10 - s
B16 FUEL BURNING WATER HEATER - _ $10 - s
B17 MISCELLANEOUS FUEL BURNING APPLIANCE - _ $10 - s
B18 GAS PIPING(ea.outlet) - i _ $1 -
1319 DUCT SYSI EMS - _ $10 - s
B20 VENTILATING FANS - _ $10 - s
1321 AIR HANDLER(DOES NOT include duct systems) =or<10.000 CFM = $12 - s
B22'AIR HANDLER(DOES NOT include duct systems) >10.000 Cruel = $15 - s
1323 EVAPORATIVE COOLERS - _ $10 - s
1324 TYPE I HOOD - $50 - s
1325 TYPE II HOOD - = $10 - s
1326 HEAT PUMP/AIR CONDITIONER 0-5 TONS I _ $12 - s
1127 AIR CONDITIONER 6-15 TONS x $20 - s
1328 AIR CONDITIONER 16-30 TONS = $25 - s
1329 AIR CONDITIONER 31-50 TONS = $35 - s
1330 AIR CONDITIONER +50 TONS = $60 - s
1331 LPG STORAGE TANK - _ $10 - s
1332 WOOD OR PELLET STOVE/INSERT - _ $25 - s
NOTE:MINIMUM PERMIT TE IS$35.00 Subtotal
/�% PLUS: PROCESSING FEE $25.00
SIGNATURE: L` �� 7 y ,....-`7- (/ TOTAL PERMIT FEE DUE $ 1 f i, (3t)
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)324-3166
master\mechperm.hnd