1996, 04-24 Permit App: 96002762 Piping MECHANICAL PERMIT APPLICATION
PROJECT ADDRESS: // 67 t42 V(ES/ryL-Ylol2---
OWNER: D g-i'Z k3 SC)-(-3----P-5 IPHONFs DAYTIME CONTACT
MAILING ADDRESS: G// cif /Vit5 i Ty
(street) / (city/state) (zip)
CONTRACTOR: EMpi/z_ ALS / //IL__ LICENSE: �/}?n2P 3o /Oe
PHONE: 6 -g 9-7&4 S----
MAILING
MAILING ADDRESS: 37`g Dc-cA,-�e_ j-bb4-►v 9'1;7-6 9
(street) (city/state) (zip)
i4' Man COST
DESCRIPTION OF WORK OF UNITS LIM a /UNIT sQusu.a AMOUNT
ire u::: •
=or <100,000 = $12 - s
B02 FUEL BURNING APPLIANCE
tBj FUEL BURNING APPLIANCE >100,000 = $15 . s
'B€ t UNLISTED APPLIANCE(ADDITIONAL CHARG =or <400,000 = $50 - $
:Bi35 UNLISTED APPLIANCE(ADDITIONAL CHARG >400,000 = $100 = s
!B USED APPLIANCE(Must meet WSEC's min. AFU =or <400,000 = $50 - s
BUSED APPLIANCE(Must meet WSEC's min. AFU >400,000 = $100 = s
00 BOILER/REFRIGERATION 1-100M BTU = $12 - s
4109 BOILER/REFRIGERATION 101-500M BTU = $20 . s
B>O BOILER/REFRIGERATION 501-1,000M BTU = $25 = s
BO.BOILER/REFRIGERATION 1,001-1,750M BTU = $35 - s
th BOILER/REFRIGERATION +1,750M BTU = $60 - s
BI3 GAS LOG, GAS INSERT, AND/OR GAS FIREPLA - _ $10 = s
Mil RANGE - _ $10 - s
11:5 DRYER - _ $10 = s
B FUEL BURNING WATER HEATER - _ $10 . s
RI7 MISCELLANEOUS FUEL BURNING APPLIANCE - _ $10 - s
B` S GAS PIPING(ea. outlet) - j _ $1 s
j o�
B1 DUCT SYSTEMS - _ $10 - s
Eliti VENTILATING FANS - _ $10 - s
Bit AIR HANDLER(DOES NOT include duct systems) = or <10,000 CFM = $12 - s
Ith AIR HANDLER(DOES NOT include duct systems) >10,000 CFM = $15 - s
B23 EVAPORATIVE COOLERS - _ $10 - s
ti4 TYPE I HOOD - _ $50 = s
B25 TYPE II HOOD - _ $10 = s
B26 HEAT PUMP/AIR CONDITIONER 0-5 TONS = $12 - s
B21 AIR CONDITIONER 6-15 TONS = $20 - s
$28 AIR CONDITIONER 16-30 TONS = $25 = s
B29 AIR CONDITIONER 31-50 TONS = $35 = s
B30 AIR CONDITIONER +50 TONS = $60 - s
Bill LPG STORAGE TANK - _ $10 - s
B32 WOOD OR PELLET STOVE/INSERT - _ $25 - s
NOTE: MINIMUM PERMIT FEE IS $35.00 Subtotal
,------- PLUS:PLUS: PROCESSING FEE $25.00
SIGNATURE: a C-7- TOTAL PERMIT FEE DUE $
'cKS.P
Spokane
ane
Comt Department
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tment o
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1026 W Broadway*Spokane,WA 99260 ... : : ..:.:.....:.:.:..:..:.:...:.:.:....:.:.:.:.:.:.:.:.:.:.:.:.: iiii
...:.:.:.
Tel. No. (509) 456-3675 *Fax No. (509)324-3198 *TDD No. (509)324- 166
Spokane County does not discriminate on the basis of disability in the admission to,or treatment or employment in,its programs or act
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