1993, 09-08 Permit App: 93008075 Water Heater, Pipingq3-0'75
MECHANICAL PERMIT APPLICATION
OJECI' ADDRESS:
cT 7 9 e (S'iboNO4)
IN ER: (TeNlt) Fa-OTT/912
AILING ADDRESS: ' 70 i 'A)0
INTRACTOR:
(street)
%N49N0 A v //6-41- +- 412
ULING ADDRESS:
C ace, (L1 vErLSWDE
'PIIONE:
it W
(city/state) (Zip)
(street)
IES. L rL IN , 1,/ . N. I, v "
12 FUEL BURNING APPLIANCE
)3 FUEL BURNING APPLIANCE
)4UNLISTED FUEL BURNING APPLIANCE
)5 UNLISTED FUEL BURNING APPLIANCE
)6 USED APPLIANCE (Must meet WSECs min. AFUE rating)
77. USED APPLIANCE (Must meet WSECs min. AFUE rating)
BOILER/REFRIGERATION
09 . BOILER/REFRIGERATION
10 BOILER/REFRIGERATION
11 BOILER/REFRIGERATION
12 BOILER/REFRIGERATION
13 GAS LAG, GAS INSERT, AND/OR GAS FIREPLACE
14. RANGE
,15 DRYER
116. FUEL BURNING WATER HEATER
117; MISCELLANEOUS FUEL BURNING APPLIANCE
118 GAS PIPING (ea. outlet)
119. DUCT SYSTEMS
120' VENTILATING FANS
121' AIR HANDLER (DOES NOT include duct systems)
122 AIR HANDLER (DOES NOT include duct systems)
123 EVAPORATIVE COOLERS
324. TYPE I HOOD
325 TYPE II HOOD
326 HEAT PUMP/AIR CONDITIONER
327:'. AIR CONDITIONER
a28: AIR CONDITIONER
B29 AIR CONDITIONER
B30. AIR CONDITIONER
031 LPG STORAGE TANK
B32 WOOD OR PELLET STOVE/INSERT
LICENSE: /J44N.N61 0 73C Y
PHONE: c'd q Sa3Y -Y740
eSpdkc e LJ14 94Ay;K
(city/state) (zip)
q' MULTI- NI S'I
I OF UNITS rumor /UNIT 1 roUAu
AMOUNT
. or <100.000
$12
OP
>100.000
S15
• or <400,000
$50
>400.000
$100
•
• or <400,900
$50
•
'400.000
s100
1-100M BTU
S12
101-500M BTU
$20
OP
501-1.000M 13113
$25
1.001-1.750M BTU
+1.750M BTU
4
$35
OP
S60
$10
OPP
$10
s10
1
s10
S10
OD
1
S1
/
.O0
s10
$10
MO
• or <10.000 CFM
>10,000 CFM
$12
s15
$10
•
S50
$10
0-5 TONS
$12
6-15 TONS
S20
•
16-30 TONS
S25
31-50 TONS
$35
DD
+50 TONS
$60
s10
S25
Subtotal
NOTE MINIMUM PERMIT FEE 1S $35.UD PLUS: PROCESSING FEE
�' � - `---- TOTAL PERMIT FEB DUE
SIGNATURE: /�' V/
SPOKANE COUNTY DIVISION OF BUILDINGS
WEST 1026 BROADWAY AVENUE • SPOKANE, WA 99260 • (509) 456-3675
ma.tat'.mediperm.Aed
$25.00
s 06.00
REGISTERED:AS FiGOYIDED,E1 •tAW A. •
1t
c • e
260o tmoo.lio.t
1,41C4 02 12 AV) 4
--02/ 2 lei 93
SEAT T I,..E W 98199
SIGNATURE
ISSUED BY DE ARTMENT OF LA OR AND INDUSTRIES
100406411/11.
1.• t,itit.q?
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