1995, 07-20 Permit App: 95005382 Mechanical Fixtures MECHANICAL PERMIT APPLICATION
PROJECT'ADDRESS: • y /I g O / 7 �/ v 25i
)WNER: J c g_d_e7 / (�/(‘ PIIONE: 92 7 - 73 7 F
4AILING ADDRESS: .. _/ / S o 2 7 �/ v4',4,c.,c) 110''_,,X.032c - 9�U 3 7
(Street) ( (city/state) (zip)
;ONTRACI'OR: fl 2_ QN J NC -1Y1 1 MG L Al e /SIC LICENSE: i3A a TO/1 n 1 1-013 7_
. I'IIONE: q,. - scoo
4AILING ADDRESS: t. I I1401 mv>J Goi1 >-'I Si bkANC WA cicio0k
(street) (city/state) (zip)
—) # Myth,- COST—
_f DESCRIPTION OF WORK — OF UNITS rum,BY_/UNIT Bou,,u AMOUNT
302 FUEL BURNING APPLIANCE =or<100,000 $12 - s
303 FUEL BURNING APPLIANCE >loo,000 . $15 - r
304 UNLIS1ED APPLIANCE(ADDTIIONAL CI LARGE) =or<400,000 . $50 - s
305 UNLIS1ED APPLIANCE(ADDITIONAL CIIARGE) >400,000 a $100 - s
306 USED APPLIANCE(Must meet WSEC's min.AFUE rating) =or<400.000 . $50 - s
307 USED APPLIANCE(Must meet WSECs min.AFUE rating) >400.000 a $100 - r
[308 BOILER/REFRIGERATION 1-100M 13 EU . $12 - s
[309 BOILER/REFRIGERATION 1o1-500M B1 . $20 - s
310 BOILER/REFRIGERAIION 501-1,000M BTU . $25 r
311 BOILER/REFRIGERAIION toot-1,750M 131 . $35 - s
312 BOILER/REFRIGERATION +1,750M BTU . $60 - s
313 GAS LOG,GAS INSERT,AND/OR GAS FIREPLACE - 2- . $10 _ r 2-19
Q '
314 RANGE - $10 s
315 DRYER - . $10 - s
316 FUEL BURNING WATER HEATER - a $10 - r
317MISCELLANEOUS FUEL BURNING APPLIANCE - / . $10 - s /0 '
318 GAS PIPING(ea.outlet) - 3 a $1 _ s 3 4
319 DUCT SYSTEMS - a $10 - s
320 VENTILATING FANS - $10 - s
321 AIR HANDLER(DOES NOT include duct systems) =or<10,000 CFM a $12 - r
322 AIR HANDLER(DOES NOT include duct systems) >10,000CFM . $15 - s
323 EVAPORATIVE COOLERS - . $10 - s
324`TYPE I HOOD - . $50 - s
325 TYPE II 11000 - . $10 - s
326 HEAT PUMP/AIR CONDITIONER 0-5TONS . $12 - r
327;,AIR CONDITIONER 6-15 TONS . $20 - s
328 AIR CONDITIONER 16-30 IONS . $25 - s
329 AIR CONDITIONER 31-50 TONS a $35 - s
330,AIR CONDITIONER +50 TONS ,, $60 - s
331 LPG STORAGE TANK - . $10 - r
332 WOOD OR PELLEVI OVE/INSERT - . $25 - s
NO7E:MINIMUM PERMIT FEE IS$35.00 Subtotal 3 3 —
PLUS: PROCESSING FEE $25.00
SIGNATURE: TOTAL PERMIT FEE DUE $ S 8 er'
PLEASE MAKE CIIECKS PAYABLE'11):
sokanc County Division of Buildings SPOKANE COUNTY PERMIT CENTER
126 W.Broadway •Spokane,WA 99260
DI. No. (509)456-3675 • Fax No. (509)456-4703 •TDD No. (509)324-3166
master\mechperm.hnd