1994, 07-25 Permit App: 94007017 Gas Log, PipingtOJECF ADDRESS:
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MECHANICAL PERMIT APPLICATION
PI{ONE:
WNER:
AILING ADDRESS:
(street)
city/state)
)NTRACTOR: F \' C 1,11M
AILING ADDRESS: E.
PHONE: q a ' Xc i
(cityjstate)
�a c�
(zip)
FUEL BURNI iGAPPLIANCE
sa>
FUEL BURNING APPLIANCE
B OILER/REFRIGERATION
B OILER/REFRIGERATION
BOILER/REFRIGERATION
BOILER/REFRIGERATION
BOILER/REFRIGERATION
1-100M BTU
101-500M BTU
sot -1.000M BTU
1.001-1.750M BTU
+1.750M BTU
GAS LOG; GAS INSERT, AND/OR GAS FIREPLACE
r i Waco IIKA :WOWS .(•:11111.111
GAS PIPING ea. outlet
DUCT SYSTEMS
VENTILATING PANS
. or <10.000 CFM
EVAPORATIVE COOLERS
TYPE I HOOD
TYPE II HOOD
HEAT PUMP/AIR CONDITIONER
AIR CONDTITONER
T3.51AIR CONDITIONER
E2 ;;.1AIR CONDITIONER
Ii3O AIR CONDITIONER
1331.' LPG STORAGE TANK
I6-30 TONS
3i-50 To NS
f50T0:Z
NOTE MIMMl7MP,
SIGNATU
Subtotal
PLUS: PROCESSING FEB
OTAL PERMIT FEE DUB
$25.0
SPOKANE COUNTY DIVISION OF BUILDINGS