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1995, 07-21 Permit App: 95005487 AC MECHANICAL PERIVIT APPLICATION PROJECT ADDRESS: OWNER: phi Tv Jt'ti/ i� i /7/7 i A4 /7 7 S'PHONE:DAYII DAYTIME "4)5 MAILING ADDRESS: /2 (42/ 52 ' 1,/, e GtJ (street) ` (city/state) (zip) CONTRACTOR: D/,,f`!J e Y LICENSE: PHONE: MAILING ADDRESS: $Wt7 f (street) (city/state) (zip) # Morn- COST DESCRIPTION OF WORK OF UNITS rusosv /UNIT aouets AMOUNT B02 FUEL BURNING APPLIANCE =or<100,000512 s B03 FUEL BURNING APPLIANCE >100,000 = $15 - s B04;UNLISTED APPLIANCE(ADDITIONAL CHARGE) =or<400,000 = $50 - B05!UNLISTED APPLIANCE(ADDITIONAL CHARGE) >400,000 . $100 - s B06`USED APPLIANCE(Must meet WSEC's min.AFUE rating) =or<400,000 = 550 - s B07' USED APPLIANCE(Must meet WSEC's min.AFUE rating) >400,000 = $100 - 8 Boa<BOILER/REFRIGERATION 1-100M BTU = $12 - 804 BOILER/REFRIGERATION 101-500MBTU . $20 - s B10 BOILER/REFRIGERATION 501-1,000M BTU . $25 s Bli'BOILER/REFRIGERATION 1,001-1,750M BTU = $35 - 8 B12 BOILER/REFRIGERATION +1,750M BTU . $60 s B13 GAS LOG,GAS INSERT,AND/OR GAS FIREPLACE — $10 - $ B14>RANGE — $10 - s B15 DRYER — $10 - s B16';FUEL BURNING WATER HEATER — $10 - s B17i MISCELLANEOUS FUEL BURNING APPLIANCE — $10 - s B18 GAS PIPING(ea.outlet) — 51 - s B19 DUCT SYSTEMS — = $10 - $ B20 VENTILATING FANS — . $10 - s B21 AIR HANDLER(DOES NOT include duct systems) =or<10,000 CFM $12 . $ 822 AIR HANDLER(DOES NOT include duct systems) >10,000 CFM . $15 - s B23>EVAPORATIVE COOLERS — $10 - s B24 TYPE I HOOD — = $50 - s 1325 TYPE II HOOD — $10 - , 1326 HEAT PUMP/AIR CONDITIONER 0-5 TONS . $12 - s B271 AIR CONDITIONER 6-15 TONS = $20 - B28 AIR CONDITIONER 16-30 TONS = $25 - s B29 AIR CONDITIONER 31-50 TONS = $35 - 8 B30 AIR CONDITIONER +50 TONS $60 - s B31'LPG STORAGE TANK — . $10 - s B32 WOOD OR PELLET STOVE/INSERT — = $25 - NOTE:MINIMUM PERMIT FEE IS$35.00 Subtotal n PLUS: PROCESSING FEE $25.00 SIGNATURE] , '-641 ,1' Gc t TOTAL PERMIT FEE DUE $ PLEASE MAKE CHECKS PAYABLE TO: Spokane County Division of Buildings SPOKANE COUNTY PERMIT CENTER 1026 W.Broadway• Spokane,WA 99260 Tel.No.(509)456-3675 * Fax No.(509)324-3198• TDD No.(509)324-3166 Spokane County does not discriminate on the basis of disability in the admission to,or treatment or employment in,its programs or activities. V!N!ss.wrr.d,.,aW