1996, 09-11 Permit App: 96007525 Gas Log, Piping NIECHAN4CAIn PERMIT APPLICATION9AQ— a� 7-3
cJPROJECT ADDRESS: ca ( AJ ; c001k' .
OWNER: -r-r vnPedtriL) kaAA-5...-
PHONE,DA CONTACT elritA ' :lib
MAILING ADDRESS: l/ ;�o (- 9E40) 6
(street) V(city zip) 1
CONTRACTOR: ig J U-e \090 LICENSE: C CJ e 7 AO
PHONE: �'249-S 5 l
MAILING ADDRESS: E/9 310 i1LJ f c o /(I-' ii Y-L Q.1,C(-
(street) (city/state) (np
- - -- --- - - -- - -- - . - -
s. COST
DESCRITION OF WORK OF UNITS MD. //UNIT BQUALS AMOUNT
04 FUEL BURNING APPLIANCE -or<100,000 = $12 - a
833 FUEL BURNING APPLIANCE >100,000 = $15 - s
pc14 UNLISTED APPLIANCE(ADDTTIONAL CHARG =or <400,000 , = $50 - s
B05 UNLISTED APPLIANCE(ADDITIONAL CHARG >400,000 = $100 - s
USED APPLIANCE(Must meet WSEC's min. AFU =or <400,000 = $50 - s
sir USED APPLIANCE(Must meet WSEC's min. AFU >400,000 = $100 - s
0.8 BOILER/REFRIGERATION 1-100M BTU = $12 - s
809 BOILER/REFRIGERATION 101-500M BTU = $20 - s
$I# BOILER/REFRIGERATION 501-1,000M BTU = $25 - s
$'(t BOILER/REFRIGERATION 1,001-1,750M BTU _ $35 - s
12 BOILER/REFRIGERATION +1,750M BTU = $60 - s
GAS LOG, GAS INSERT, AND/OR GAS FIREPLA - _ $10 - so
:;14 RANGE - _ $10 - s
81:5 DRYER - _ $10 - s
816 FUEL BURNING WATER HEATER - _ $10 - s
BEsr MISCELLANEOUS FUEL BURNING APPLIANCE - _ $10 - s
• :::(8 GAS PIPING (ea. outlet) - / $1 - a 7 .
19 DUCT SYSTEMS - _ $10 - s
' 820 VENTILATING FANS - _ $10 - s
B21 AIR HANDLER(DOES NOT include duct systems) = or <10,000 CFM = $12 - s
322 AIR HANDLER(DOES NOT include duct systems) >10,000 CFM = $15 - s
B23 EVAPORATIVE COOLERS - _ $10 - s
824 TYPE I HOOD - _ $50 - s
825 TYPE II HOOD - _ $10 - s
s26 HEAT PUMP/AIR CONDITIONER 0-5 TONS = , $12 - $
Bit AIR CONDITIONER 6-15 TONS = $20 . s
B28 AIR CONDITIONER 16-30 TONS = $25 - s
1 :19 AIR CONDITIONER 31-50 TONS = $35 - s
s AIR CONDITIONER +50 TONS = $60 - s
83 .LPG STORAGE TANK - = $10 - s
B - WOOD OR PELLET STOVE/INSERT - _ $25 - s
NOTE: MINIMU, PERMIT FEE • $35.00 Subtotal (
PLUS: PROCESSING FEE ._25.00
SIGNATURE:414 ,/ ' ' I �� IL(l 4 TOTAL PERMIT FEE DUE $
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LEASE tE , . C�xP YB1ZOj
Spokane County Department of Building & Planning ECO 'ro
1026 W. Broadway * Spokane, WA 99260
Tel. No. (509) 456-3675 *Fax No. (509) 324-3198 •TDD No. (509)324- 166
Spokane County does not discriminate on the basis of disability in the admission to,or treatment or employment in,its programs or act
WS
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