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1995, 09-07 Permit App: 95007070 Furnace, PipingMECHANICAL PERMIT APPLICATION L PROJECT ADDRESS: F $ %10) ,L. owNER: f)') aJ414,1 - MAILING ADDRESS: CONTRACTOR: R, MAILING ADDRESS: 5-7o7v 35( /. °go 1-(A0--F-->(c c/ (street) • IPIIONE: °,1 e/ _ '?i L-/13' dS 9.7: / (city/state) (zip) (street) LICENSE: !V t K Co //A 0 7 6 , PHONE: 5 i//_ )y' y 7 jo_4-1.. v1Q , IA) 4. 7 j & (city/state) (zip) Spokane County Division of Buildings 1026 W. Broadway • Spokane. WA 99260 Tcl. No. (509) 456-3675 • Fax No. (509) 456-4703 • TDD No. (509) 324-3166 ..rrS.sape...►ao PRASE MAKE C1IECKS PAYABLE TO: SPOKANE COUNTY PERMIT CENTER DESCRIPTION OP WORK * OF UNIT ...n - rLUDSY COSI' /UNIT rUu,w AMOUNT 1302 FUEL BURNING APPLIANCE= or <100.000 $12 . Ie ' 0 0 B03 FUEL BURNING APPLIANCE > moo0 $15 - . 1304 UNLISTED APPLIANCE (ADDITIONAL CHARGE) = or <400.000 $50 - . B05 UNLISTED APPLIANCE (ADDITIONAL CHARGE) >400,000 -« o: <400.000 $100 $50 _ - r r B06 USED APPLIANCE (Must meet WSECs min. AFIJE rating) B07 USED APPLIANCE (Must meet WSECs min. AFUE rating) >400.000 $100 . . 1 1308 BOILER/REFRIGERATION 1-looM trru $12 - 1 . 1 B09 BOILER/REFRIGERATION 101-500M BTU $20 . . B10 BOILER/REFRIGERATION 501-1,000M BTU . $25 - • B11 BOILER/REFRIGERATION 1.001-1.750M BTU $35 - r B12 BOILER/REFRIGERATION +1,750M BTU . $60 - 1 r i B13 GAS LOG. GAS INSERT. AND/OR GAS FIREPLACE - . $10 - . B14 RANGE - $10 - . B15 DRYER - $10 - . 1 1316 FUEL BURNING WATER HEATER - $ 10 . . B17 MISCELLANEOUS FUEL BURNING APPLIANCE - $10 - . 1318 GAS PIPING (ea. outlet) - / S1 - . /, 00 1319 DUCT SYSTEMS - . $10 - . 1320 VENTILATING FANS - $10 - . B21 AIR HANDLER (DOES NOT include duct systems) - or <10.000 CFM $12 - . 1322 AIR HANDLER (DOES NOT include duct systems) >10,o0oCFM $15 - . 1323 EVAPORATIVE COOLERS - $10 . . 1324 TYPE I HOOD - $50 . . i325 TYPE II HOOD - . $10 - . 1326 HEATPUMP/AIRCONDITIONER 0-5 TONS $12 - . 1327 AIR CONDITIONER 6-15 TONS $20 . . 1 1328 AIR CONDITIONER 16-30 TONS $25 - . 1329 AIR CONDITIONER 31-50 TONS . $35 - . Rio AIR CONDITIONER +50 TONS $60 - . 1331 LPG STORAGE TANK - $10 . . 832 WOOD OR PELLET STOVE/INSERT - $25 - . NOTE: MINIMUM PERMIT FEE IS $3.5.00 • SIGNATURE: ep .; A-)4(-(39-_ Subtotal /,j , o 0 PLUS: PROCESSING FEE $25.00 TOTAL PERMIT FEE DUE S (% , a 0 Spokane County Division of Buildings 1026 W. Broadway • Spokane. WA 99260 Tcl. No. (509) 456-3675 • Fax No. (509) 456-4703 • TDD No. (509) 324-3166 ..rrS.sape...►ao PRASE MAKE C1IECKS PAYABLE TO: SPOKANE COUNTY PERMIT CENTER