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1995, 07-18 Permit App: 95005338 ACEAcebi ocal) MECHANICAL PERMIT APPLICATION 5---2k2.6.'er PROJ Her ADDREss: i0q OWNER: ____Lbin) /1) IPIIONE: qc) - JA e3 . MAILING ADDRESS: jarra _ _ _ ___ (cily/slat9 (zip) J41t=-- LICENSE: A RAO M---Taab-19_ PHONE: _A-f1:7_445A____ MAILING ADDRESS: 12)0.... (str cb 44-5 ii.scauntioN.or_wowc _ 1102 17UEL BURNING iAKIIIJANCE 1103 FUEL BURNING APPLIANCE 1104 UNLISTED FUEL BURNING APPIIANCIF. 1105 uNi IIJEL BURNING APPLIANCE 1106USED APPL—IANCE (Must meet WS1F.C's mist. AFIJE rating) . 1)07 1.151l)APPLIANCT:Atylust nicet WSEC's min. AEU E rating) 1108 11011-ER/BEFRIGERATION 110') BOILER/REFRIGERATION 1110 BOILER/REFRIGERATION 1111 BOILER/REFRIGERATION 1112 BOILER/REFRIGERATION 1113 GAS LOG, GAS INSERT...AN D/OR GAS FIREPLACI:. 1114 RANGE 1115 DRYER 1116 FUEL BURNING WATER 11Eivriiit 1117 MISCELLANEOUS FUEL BURNING APPLIAN(71:. Bla GAS PIPIN_Hlet) -.- 1119 DUCT SYSTEMS 1120 VENTILATING FANS 1121 AIR IIANDLERADOESiriclutle.duct systems) J!2_ AIR HANDLER (DOES NOT include duct systems) 1123 EVAPORATIVE C001.FRS _ . 1124 TYPE. 1 1100D n25 TY111.11 11001) 1126 IlEAT PUMP/AIR CONDrrioNilt 1127 AIR CONDITIONER 1128 AIR CONDMONER 1129 AIR CONDITIONER 1130 AIR coNorrioNER 1131 LPG STORAGETANK_ 1112 W001? oR 1,11.1.Er STOV NtiEltr NOTE: MINIMUM PERMIT FEE IS $.150) SIGNATURE: moiterthsr • 1114,111 11.1 -0-YL ( ity/stalt:) (zip) --if—Triuk.,1- 1 COST -- Or UNITS_ ruins, /UNIT_ _ AMOUNT _ <100,000 >100.000 8. or <400,000 >4000(X). or <400,0011 >400010 1- 100M INA 101 - 300M lrIU 501-1,000M 13111 1,001 - 1,750M IIt1 1.750M If 11 1 o or <10.000 (IM >10.000 • 0- 3 TONS -15 TONS 14 - 30 TONS 31 - 30 TONS I 50 TONS 512 -- 515 • _ S50 • 5104) 55( • 510( • 512• 520 525 533 S60 510 510 510 510 510 SI 510 . S1() • 512 S15 510 _ . 34) 510 512 520 525 535 56(1 510 525 - Subtotal PI.US: PROCESSING 111111 'TOTAL PER FAIT pm! Dup. SPOKANE COUNTY DIVISION 01' BUILDINGS WEST 1026 BROADWAY AVENUE • SPOKANE. WA 9976(1 • 009) 456-3675 • • • • • $ 3_7,0a