1994, 11-02 Permit App: 94010969 Water Heater 9q - W%1
MECHANICAL PERMIT APPLICATION # 3fr 3�
PROJECT ADARESS: 30 C 0 v' /PQ ,i,,, 04d 6,cz..--e_.
OWNER: eit hM 1/4-S-' 414 �� PHONE: �Z CJ 9C/`l3
MAILING ADD3D2ba-. / eZ-`e�
r (street) (city/state) (zip)
CONTRACTOR: /Or/k S (4/ Ato(?%&0740( LICENSE: /0 e'btm 0Co(O
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/ PHONE: 5-3Y-ZZ,S—
MAILING ADDRESS: SV t el t Adi-JA-_---,, L( 4 Z 67
(street) (city/state) (zip)
# MULTI- COST
DESCRIPTION OF WORK OF UNITS PLIED BY /UNIT EQUALS AMOUNT
B02 FUEL BURNING APPLIANCE =or<100,000 s $12 - s
B03'FUEL BURNING APPLIANCE >100,000 x $15 - s
B04 UNLISTED APPLIANCE(ADDITIONAL CHARGE) =or<400,000 x $50 - s
B05 UNLISTED APPLIANCE(ADDITIONAL CHARGE) >400,000 x $100 - s
B06 USED APPLIANCE(Must meet WSEC's min.AFUE rating) =or<400,000 x $50 _ s
B07 USED APPLIANCE(Must meet WSEC's min.AFUE rating) >400,000 x $100 _ s
B08'BOILER/REFRIGERATION 1-100M BTU x $12 - s
B09 BOILER/REFRIGERATION 101-500M BTU x $20 - s
B10'BOILER/REFRIGERATION 501-1,000M BTU x $25 - s
B11`BOILER/REFRIGERATION 1,001-1.750M BTU x $35 - s
B12 BOILER/REFRIGERATION +1,750M BTU x $60 - s
B13 GAS LOG,GAS INSERT,AND/OR GAS FIREPLACE - x $10 - s
B14 RANGE - s $10 - s
B15 DRYER - s $10 - s
B16 FUEL BURNING WATER HEATER - / x $10 _ $ /0,0 0
B17 MISCELLANEOUS FUEL BURNING APPLIANCE - s $10 - s
B18 GAS PIPING(ea.outlet) - s $1 - s
B19 DUCT SYSThMS - s $10 - s
B20'VENTILATING FANS - s $10 - s
B21 AIR HANDLER(DOES NOT include duct systems) =or<10,000 CFM x $12 - s
B22 AIR HANDLER(DOES NOT include duct systems) >10,00o CFM x $15 - s
B23 EVAPORATIVE COOLERS - x $10 _ s
B24 TYPE I HOOD - $50 _ ,
B25 TYPE II HOOD - s $10 - s
B26 HEAT PUMP/AIR CONDITIONER 0-5 TONS x $12 - s
B27' AIR CONDITIONER 6-15 TONS x $20 _ s
B28 AIR CONDITIONER 16-30 TONS x $25 - s
B29 AIR CONDITIONER 31-50 TONS x $35 - s
B30 AIR CONDITIONER +50 TONS s $60 - $
B31 LPG STORAGE TANK - s $10 _ S
B32 WOOD OR PELLET STOVE/INSERT - s $25 - s
NOTE:MINIMUM PERMIT FF IS$35.00 Subtotal
4 _ PLUS: PROCESSING FEE $25.00
SIGNATURE: � � TOTAL PERMIT FEE DUE $ _55.Q a
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