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1995, 12-05 Permit App: 95010158 Water Heater, Piping Ci -S — lo / c:-.:-,......> MECHANICAL PERMIT APPLICATION , PROJECT ADDRESS: /s9/,. / --.. , ,ve r.. .1.4)ct,y a re_e_t... acres , , OWNER: (A ( Net i'-ri Y‘ 'PHONE:DAYTIME CONTACT ci, - .3..20 7 MAILING ADDRESS:,56_,,„„e___ (street) (city/state) (zip) C.. k ei ,_, 1 1 CONTRACTO (CI) / /14te_or-- e e_._ LICENSE: c>/i i 44 Ce PHONE: 3,2 q -qD- 3 MAILING ADDRESS: A) 9 q S6itietALipA ri-- ide-ey Ili 03 ._SP'Ofic<0-74-e , qqca > th a I j (strett) (city/st(te) (zip) # MULTI. COST DESCRIPTION OF WORK ,OF UNITS LIED a /UNIT EQUALS AMOUNT iii2 FUEL BURNING APPLIANCE =or <100,000 = $12 - s *13 FUEL BURNING APPLIANCE >100,000 s $15 - s ilth UNLISTED APPLIANCE(ADDMONAL CHARG =or <400,000 . $50 = s k5 UNLISTED APPLIANCE(ADDITIONAL CHARG >400,000 . $100 - s ita USED APPLIANCE(Must meet WSEC's min. AFU =or <400,000 = , $50 = s 00 USED APPLIANCE(Must meet WSEC's min. AFU >400,000 = $100 - s tiO8 BOILER/REFRIGERATION 1-100M BTU = $12 . $ /109 BOILER/REFRIGERATION 101-500M BTU = $20 = s MO BOILER/REFRIGERATION 501-1,000M BTU = $25 - s ....., MI BOILER/REFRIGERATION 1,001-1,750M BTU . = $35 - s ,... BI' BOILER/REFRIGERATION +1,750M BTU = $60 - s ti."3 GAS LOG,GAS INSERT, AND/OR GAS FIREPLA - . $10 = s 1"i4RANGE - - $10 = s ...,...,..... 1I5DRYER - . $10 - s ....,... mo FUEL BURNING WATER HEATER - I - $10 - s /0, °--(=-- fib MISCELLANEOUS FUEL BURNING APPLIANCE - . $10 - s ....,.. BIS GAS PIPING(ea. outlet) - / . $1 - s 7, 0.9- , 8.19 DUCT SYSTEMS - . $10 - s Eili3 VENTILATING FANS - - $10 - s tiii AIR HANDLER(DOES NOT include duct systems) = or <10,000 CFM = $12 = s ii2 AIR HANDLER(DOES NOT include duct systems) >10,000 CFM x $15 - s .46 EVAPORATIVE COOLERS - . $10 - s ti4 TYPE I HOOD - . $50 - s iii. TYPE II HOOD - . $10 = s B26 HEAT PUMP/AIR CONDITIONER 0-5 TONS = $12 = s 4 AIR CONDITIONER 6-15 TONS = $20 - s WS AIR CONDITIONER 16-30 TONS = $25 - s B29 AIR CONDITIONER 31-50 TONS = $35 - s AIR CONDITIONER +50 TONS = $60 - s ...,.,.,.,.,.,.,. Tel LPG STORAGE TANK - . $10 - s Ait WOOD OR PELLET STOVE/INSERT - . $25 = s lit* NOTE: MINIMUM PERMIT FEE IS $35.00 Subtotal ', Ov— - PLUS: PROCESSING FEE $25.00 SIGNATURE: /Y-1a/ „,... ,K, TOTAL PERMff FEE DUE $ 36, q.R. ....................................................................,..... ........................... OPLEASEMAMellteRSTAVABIZTOiii Spokane County Department of Building & Planning !iisPoitior:coortitiiptoirratinito 1026 W. Broadway*Spokane,WA 99260 Tel. No. (509)456-3675 * Fax No. (509)324-3198*TDD No. (509)324-3166 • . . Spokane County does not discriminate on the basis of disability in the admission to,or treatment or employment in,its programs or act 7/d95 mostainescepormird