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1996, 03-04 Permit App: 96001058 AC
e - r MECHANICAL PERMIT APPLICATION G ; r ) C, 11)2/ i0DRESS: Al ,_'s' � 0 ) 5x,„,,L4 4.4,1.4 ems,, 'PHONE: 4„ y _ ,c24,. - .:f- o 7 NAILING DRESS: c-- ./`-') )00. --tt 1 a L{ eT l , (streeeta).. (city/state) (zip) CONTRACTOR: Al LrY"c_tl ' /\_/... ,,,,i r,„ti .f� LICENSE: PHONE: MAILING ADDRESS: (street) / (city/state) �V c,.r� (zip) 111 DESCRIPTION QF WORK OP ....T- COST- UNITS MOLDSY /UNIT 1..1 AMOUNT 1302 FUEL BURNING APPLIANCE .or<100.000 . $12 . B03 FUEL BURNING APPLIANCE >too,000 • $15 . . B04 UNLISTED APPLIANCE(ADDITIONAL CHARGE) .or<400p00 $50 - , MS UNLISTED APPLIANCE(ADDITIONAL CHARGE) >400.000 $100 - . 806 USED APPLIANCE(Must meet WSECs min.AFUE rating) .or«00,000 . $50 . . B07 USED APPLIANCE(Must WSECs min.AFUE rating) >400.000 . $100 . . BOB BOILER/REFRIGERATION 1-100M BTU $12 - . 1 809 BOILER/REFRIGERATION lot-soots BTU $20 . . B10 BOILER/REFRIGERATION 501-1400M BTU $25 . . Ell BOILER/REFRIGERATION 1401-1.7s0M BTU a $35 . , 1 B12 BOILER/REFRIGERATION i +1,75OM BTU $60 . I B13 GAS TAG.GAS INSERT.AND/OR GAS FIREPLACE - $10 . . B14 RANGE - • $10 . . B1S DRYER - S10 . • 1 B16 FUEL BURNING WATER HEATER - S10 . . 1 B17 MISCELLANEOUS FUEL BURNING APPLIANCE - $10 . . B18 GAS PIPING(ea.outlet) - • Si . . 819 DUCTSYSIEMS - $10 . •Bi 20 VENTILATING FANS - • $10 . . B21 AIR HANDLER(DOES NOT include duct systems) •or<10.000 cFM S12 - . B22 AIR HANDLER(DOES NOT include duct systems) >10.000CFM . $15 . B23 EVAPORATIVE COOLERS - $10 . . B24 TYPE I HOOD - $50 . . B25,LL7YPE II HOOD - $10 . . B26 HEAT PUMP/AIR CONDITIONER 0-5 TONS _ Et21 AIR CONDITIONER _ 6-1S TONS a $20 . . 828,AIR CONDITIONER a-30TONS S25 . I B29 AIR CONDITIONER 31-so TONS $35 . . • 830 AIR OONDmONER +5O TONS $60 . 831 LPG STORAGE TANK - • $10 . . B32 WOOD OR PELLET STOVE/INSERT • $25 ._ . NOTE:MINIMUM PERMIT FEE IS$35.00 Subtotal PLUS: PROCESSING FCL' $25.00 SIGNATURE:_____S C' X l %("�L TOTAL PERMIT FEE DUE S 3 7, C)(J 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•Pu No.(509)456-4703•TDD No.(509)324-3166 sonfowrW+