1995, 12-04 Permit App: 95010072 4
MECHANICAL PERMIT APPLICATION 5_ \o o-/
PROJECT ADDRESS: /aa 3 (,(KO'd&
OWNER: c f' t Vi 6 i .X/` PHONE,DAYTIME CONTACT ga 337
MAILING ADDRESS: 4) /61.1.0 -zoL-
(street) (city/stated (�)�� $
CONTRACTOR: `c ' L in r i S 2 U� \(fh op LICENSE: F C (O& C! /7 3 .d Cc_
PHONE: q.2_6,--s29/1 ___
MAILING ADDRESS: 429 3/0 �sYCL '15-pO k�XP 1.1 k` � cz--
treet)� (city/state) (zip
A a/u n l.UJ I .
DESCRIPTION OF WORK OF UNITS[L®. /UNIT mutatAMOUNT
032 FUEL BURNING APPLIANCE - or <100,000 $12 - s
B(3 FUL BURNING APPLIANCE >100,000 = $15 - s
1304 UNLISTED APPLIANCE(ADDITIONAL CHARG =or <400,000 . $50 - s
UNLISTED APPLIANCE(ADDITIONAL CHARG >400,000 = $100 - s
it USED APPLIANCE(Must meet WSEC's min. AFU -or <400,000 . $50 - s
X407i USED APPLIANCE(Must meet WSEC's min. AFU >400,000 = $100 - s
8 BOILER/REFRIGERATION 1ao0M BTU . $12 - s
ii09 BOILER/REFRIGERATION 101-500M BTU . $20 - $
BIO BOILER/REFRIGERATION 501-1,000M BTU = $25 - s
ifin BOILER/REFRIGERATION 1,001-1,750M BTU . . $35 , - s
'tin BOILER/REFRIGERATION +1,750M BTU = $60 - s
813\GAS LOG, GAS INSERT, AND/OR GAS FIREPLA - / . $10 - s /0
B3+#RANGE - . $10 - s
BIS DRYER - . $10 - s
3b FUEL BURNING WATER HEATER - . $10 - s
,,..
tin MISCELLANEOUS FUEL BURNING APPLIANCE - . $10 - s
B1S GAS PIPING(ea. outlet) - ( _
$I+9 DUCT SYSTEMS - . $10 - s
iiia VENTILATING FANS - . $10 . s
:Bit AIR HANDLER(DOES NOT include duct systems) = or <10,000 CFM . $12 - s
42 AIR.HANDLER(DOES NOT include duct systems) >10,000 CFM . $15 - s
' B . EVAPORATIVE COOLERS - . $10 - s
1324 TYPE I HOOD - . $50 - s
, 4325 TYPE II HOOD - . $10 - s
B2( HEAT PUMP/AIR CONDITIONER 0-5 TONS = $12 - s
B2'3 AIR CONDITIONER 6-15 TONS = $20 - s
828 AIR CONDITIONER 16-30 TONS = $25 - s ,
:B29AIR CONDITIONER 31-50 TONS = $35 - s
13343 AIR CONDITIONER +50 TONS = $60 - s
B31 LPG STORAGE TANK - _ $10 - s
'ilk WOOD OR PELLET STOVE/INSERT - I _ $25 - $
NOTE: MINI / UM PERMIT FEE IS$35.00 Subtotal 1/ '
n PLUS: PROCESSING FEE $25.00
SIGNATURE, A Ce4/1— - -' / I it TOTAL PERMIT FEE DUE $ 3k?
%k�x�•g� fir. .N �:: 0;
Department of Builth & Planning r' `,,,:..,. ` ' :y
Spokane County ng ..:.:. ..... ..... .�JJ •• ; +�
:'•ff it`� :<:%'3�•�%<:�:;:�i.}+.;`}.�;:,{,.5"�,• �ti� 4•�S'},�#
1026 W. Broadway'Spokane,WA 99260 ;•;::.: ......................::::: ::Iz:,: '.::, a'`;" r. ':::.::::.t<f......
Tel. No. (509)456-3675 *Fax No. (509)324-3198*TDD No. (509)3241166
Spokane County does not discriminate on the basis of disability in the admission to,or treatment or employment in,its programs or act
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