1995, 06-12 Permit App: 95004171 Gas Log, Piping R 9 3 Li j 71
MECHANICAL PERMIT APPLICATION
PROJECT ADDRESS: S Z_' i q t L/ t )(cLIU I)/L
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OWNER: 1 • AV\�� •---\C.,41 1r� IPHONE:nwrtniEcorrrecr (sc;9)9 6�-/..
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MAILING ADDRESS: S Z-1 ` -Ti M LY-Ir ko\-Q _)2 Vii/ 0 , U)Q` c
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(street) ' \ (city/state) (zip)
CONTRACTOR: / „A e'C y a LICENSE:
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MAILING ADDRESS:
(street) (city/state) (zip)
# MULTI- COST
DESCRIPTION OF WORK OF UNITS TURD NT /UNIT EQUALS AMOUNT
1302 FUEL BURNING APPLIANCE =or<100,000 = $12 . s
B03!FUEL BURNING APPLIANCE >100,000 = $15 - s '
Boo:UNLISTED APPLIANCE(ADDITIONAL CHARGE) =or<400,000 $50 - s
1305:UNLISTED APPLIANCE(ADDITIONAL CHARGE) >400,000 . $100 - s
1306 USED APPLIANCE(Must meet WSEC's min.AFUE rating) =or<400,000 $50 - s
1307 USED APPLIANCE(Must meet WSEC's min.AFUE rating) >400,000 = $100 - s
BOB'BOILER/REFRIGERATION 1-100M BTU . $12 - s
1309 BOILER/REFRIGERATION 101-500M BTU . $20 - s
B10<BOILER/REFRIGERATION 501-1,000M BTU . $25 - s
B11i BOILER/REFRIGERATION 1,001-1,750MBTU $35 - s
112 BOILER/REFRIGERATION +1,750M BTU . $60 - s
• B13< GAS LOG,GAS INSERT,AND/OR GAS FIREPLACE — . $10 - s 10
B14.RANGE — $10 - s
B15 DRYER — $10 - s
B:1d'FUEL BURNING WATER HEATER — = $10 - s
BI'B!:;MISCELLANEOUS FUEL BURNING APPLIANCE — $10 - s
)c B18 GAS PIPING(ea.outlet) — $1 - s
B19 DUCT SYSTEMS — = $10 - s
B20 VENTILATING FANS — $10 - s
B21 AIR HANDLER(DOES NOT include duct systems) =or<10,000 CFM . $12 - s
1322 AIR HANDLER(DOES NOT include duct systems) >10,000CFM . $15 - s
B23 EVAPORATIVE COOLERS — $10 - s
B24' TYPE I HOOD — . $50 - s
1325:;TYPE II HOOD — . $10 - s
B26 HEAT PUMP/AIR CONDITIONER 0-5 TONS . $12 - s
B27' AIR CONDITIONER 6-15 TONS $20 - s
1328;AIR CONDITIONER 16-30 TONS . $25 s
B29>AIR CONDITIONER 31-50 TONS . $35 - s
B34'AIR CONDITIONER +50 TONS . $60 - s
1331 LPG STORAGE TANK — . $10 - s
1332 WOOD OR PELLET STOVE/INSERT — . $25 . s
NOTE:MINIMUM PERMIT FEE IS$35.00 Subtotal
PLUS: PROCESSING FEE $25.00
SIGNATURE: ��111� We--4,7
TOTAL PERMIT FEE DUE $ (TJ
PLEASE MAKE CHECKS PAYABLE TO:
Spokane County Division of Buildings 7
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.
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