1995, 11-03 Permit App: 95009178 Mechanical Fixtures MECHANICAL PERMIT APPLICATION CIS.. 9 -\ %
PROJECT ADDRESS: g /'S 76 ,g--4.7/c/_/ "lye-
OWNER: //NA (HO ie( 6IPHONE:DAYTIME CONTACT (7/6e ).- L/(4)3
MAILING ADDRESS: &--, / '7()g ei 6 4 A vz-_--.-- 3,70 eA/1/e-, kVA Vc12/
(street) (city/state) (zip)
CONTRACTOR: a i/U/V / LICENSE:
PHONE:
MAILING ADDRESS:
(street) (city/state) (zip)
MULTI- COST
DESCRIPTION OF WORK OF UNITS usa. /UNIT EQUALS AMOUNT
BM FUEL BURNING APPLIANCE =or <100,000 = $12 = s
4163 FUEL BURNING APPLIANCE >100,000 = $15 - s
.....,„„....
264 UNLISTED APPLIANCE(ADDITIONAL CHARG —or <400,000 . $50 - $
1305 UNLISTED APPLIANCE(ADDITIONAL CHARG >400,000 = $100
1306 USED APPLIANCE(Must meet WSEC's min. AFU =or <400,000 , = $50 - s
.ik7,USED APPLIANCE(Must meet WSEC's min. AFU >400,000 = $100 = s
Bos BOILER/REFRIGERATION 1-100M BTU = $12 = s
B09 BOILER/REFRIGERATION 101-500M BTU = $20 - s
gib BOILER/REFRIGERATION 501-1,000M BTU = $25 = s
Bit BOILER/REFRIGERATION 1,001-1,750M BTU . = $35 - s
Oh BOILER/REFRIGERATION +1,750M BTU = $60 - s
}Ili GAS LOG, GAS INSERT, AND/OR GAS FIREPLA - 4 = $10 = s
liti RANGE - = $10 - s
..,......,••
B15 DRYER - . $10 - s
li1:16 FUEL BURNING WATER HEATER - / = $10 . s
Eli MISCELLANEOUS FUEL BURNING APPLIANCE - = $10 - s
B'8 GAS ,,
Bilift GAS PIPING(ea. outlet) - $1 - $
414 DUCT SYSTEMS - = , $10 = s
1424:1':''s VENTILATING FANS - = $10 - s
iiiii.AIR HANDLER(DOES NOT include duct systems) = or <10,000 CFM = $12 = s
iii AIR HANDLER(DOES NOT include duct systems) >10,000 cFm = $15 - s
Iiii EVAPORATIVE COOLERS - = $10 - s
4 TYPE I HOOD - . $50 - s
!Iii5 TYPE II HOOD - = $10 = s
B26 HEAT PUMP/AIR CONDITIONER 0-5 TONS = $12 = s
1i.21 AIR CONDITIONER 6-15 TONS = $20 - s
ta AIR CONDITIONER 16-30 TONS = $25 - s
iiiji AIR CONDITIONER 31-50 TONS = $35 = s
BO AIR CONDITIONER +50 TONS . $60 . s
IEiii.LPG STORAGE TANK - = $10 - s
a::: WOOD OR PELLET STOVE/INSERT - . $25 = s
NOTE: MINIMUM PERMIT FEE IS$35.00 Subtotal
0 PLUS: PROCESSING FEE $25.00
X 'Al7<----- 4.41D0,A
SIGNATURE:_,-/_/ -/z-C- 1 .)----''/ ----/ TOTAL PERMIT FEE DUE $
.,.....,.......................,................„..........................................................................4................................................,............
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Spokane County Department of Building & Planning i!iiii$POKANteceartaMiTiteneRgiii
1026 W. Broadway*Spokane, WA 99260
Tel. No. (509)456-3675*Fax No. (509)324-3198*TDD No. (509)324- 166
Spokane County does not discriminate on the basis of disability in the admission to,or treatment or employment in,its programs or act
7/6/93 mildesoolvern.hoi