2003, 05-09 Permit: BD03-386 Insert FALCO UAKULN LhN I tK I tOLYi�J10LJ iuor,ui.0 .,;•=.;...1m r. r.,rc,i
APR 06 2003 11:50 FR TO 9289029 P.02/02
Sffc v..-e.-b b...3 --I
..1001rValley 6005 30Co
MECHANICAL PERMIT APPLICATION
PROJECT 2 {� 6J {� t [ �/vl PERMIT x
ADDRESS: �1 �J O ' Si aLLJ0)JJ'1 l�Y I USE: t../-t7vi �C 1-F !J 6/0/710 _
'OWNER: (1/6141
J /�C6 54/al
,f„ PHONE(Daytime Contact):
MAILING ADDRESS: 5-r Yc,` 7
� )117./YL . !ice 61�•l,G 6%
__ (street) (ci !state) .(zip)
CONTRACT R LICENSE#:
% 7WZ& Atitdef etittEA 64-1-aa i(7,301J_
MAILING ADDRESS: PHONE*:
• 6067-9,24 -1671( •
93/0 e. S� a ILa6)/4 992.0(
I • (street) (city/state) (zip)
DESCRIPTION OF MU ,*yawn X COST EOVALS AMOUNT ,
• 1 FUEL BURNING APPLUWCE =OR-4100,000 -. X $15 -
5 2'FUEL BURNING APPLIANCE 1-100,000 X $19+. _
3 UNLISTED APPLIANCE(ADDITIONAL FEE) •13R400,000 ' X $50' • -
4 UNLISTED APPLIANCE(ADDITIONAL FEE) 1-400,000 + X 1100
• 5 USED APPLIANCE(WSEC mkt.AFUE rstlng) -0Rr400,000 X $50 •-
8 USED APPUANCE(WSEC min.AFUE rating), >400,000 X ;100
7 8OILER!REFRIGERATION 1-100M BTU X $15 "
d BOILER/REFRIGERATION • 101-500M BTU • X • 128!r al •
9 SOLER/REFRIGERATION 501.1,000M BTU _ X $39: .
10i BOILER/REFRIGERATION • 1001-1,750M BTU X $57'
11 BORER/REFRIGERATION +1750M BTU X $95 _
122 -F-•GAS LOGI GAS INSERT,GAS FIREPLACE ' - X- $10 = _-/QeO
13 RANGE - X $10~ -
14 DRYER - X $10 - i
• 15 FUEL BURNING WATER HEATER - _X 510 - -�
16 MISCELLANEOUS FUEL BURNING APPL • - T X S10 R _
1T GAS PIPING(es,Outlet) -- + X S1
to DUCT SYSTEMS - X $10
•
19 VENTILATING FANS - X $10 0
20 AIR HANDLER(DOES NOT include ducting) =ORC10,000CFM , X $12 i -
21 AIR HANDLER(DOES NOT Include ducting) >10,00oCFM X $19 -
22 EVAPORATIVE COOLERS - X slot ,
23 TYPE I HOOD - 1
X _ $50 =
24 TYPE 8 HOOD - X 510,. -
25 HEAT PUMP/AIR CONDITIONER 0-3 TON X ,$12 c
20 AIR CONDMOP ER 3-15 TON X $20 -
27 AIR CONDITIONER 155-30 TON • X $25 -
28 IVR CONDITIONER 30-50 TON X $35
29 AIR CONDITIONER +50TON X $80 -
30 LPG STORAGE TANK -.- -_ X 4101 • -- ...
31 WOOD OR PELLET STOVEIINSERT J $25 -
X+ $10 -
32 WOOD STOVE-FREE STANDING - X J
•
• r 1 i SU8TOTAL
•0 CASH O an — PLUS PROCESSING
P5-.=PaaTs vat oNLy w ACCaRW aim rAyzB 5-r FEE $35.00
OP AWARD&CREDIT GAD •
/� TOTAL PERMIT FEE
DAT: S.— [-:C : . D DUE S (56
SAMOAN)NUMSEA P 11 '
•
• AVf}iORrzED SIGNATURE: hj L*/'IOL) I„
•
** TOTRL PAGE.02 **
This document originally contained
confidential credit card information which
was redacted pursuant to RCW 19.255.010
and the original document destroyed
pursuant to 505 DAN G52014-030.
MAY 06 2003 15:42 15099269029 PAGE.01
'� a ( / /