1995, 06-14 Permit App: 95004255 Mechanical FixturesJU11 12 12 : 05PI-1 -
MECHANICAL PERMIT APPLICATION
PROJECT ADDRESS:
p W N ER: l �J
MAILING ADDRESS•
(street
CONTRACTOR:
TMON& PAYT[W OONTACr
(city/state)
LI CEN SB:
n
(sip
iPH Otv es•
MAILINGADDRES3.,,,,-_-, /Q%L'Z�_I��- C
(street) (city/state) Oip)
CO T
B A: FUEL BURNING APPLIANCE
or 1100,000 $12 +
URN -- >i000oo I a I SIS - +
APPLIANCE (Must mect
IGBRATION
RANGE
DRYER
CHAR
CHAR
GAS FIREPLACE
FUEL BURNING WATER HEATER
MISCELLANEOUS FUEL BURNING API
_GAS PIPING as. outlet
DUCT SYSTEMS
VEN71LAMNG FANS
AIR HANDLER DOES NOT include duct
AIR HANDLER (DOES NOT include duct
EVAPORATIVE COOLERS
TYPE I HOOD
TYPE 11 HOOD
HEAT PUMP/AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
LPG STORAGE TANK
'WOOD OR PEL BTSTOVE/lNSBRT
NOTE: MINIMUM PARMITFEE IS $35.00
SIGNATURE:
or<400A00
$50 •
r 400,000
.
$100 . +
of <4W.000
*
$50 +
2-400,000
$100 +
1-iwm sm
$12 - +
101-500M BTU
.
$20 +
301-1,000M 8'iU
$25 - +
1,001-1.730M sTU
.
$35 • +
+1,750M BTU
$60
_
$10 . s
_
$10 +
_
910 +
_V
$10 +
_
$10 +
_
mol +
yr < 10,000 CFM
.
S 12 r
> 10.000 CFM
$15 +
_
$10 - +
_
S50 - +
_
$10 +
0-s TONS
$12
6-1STONS
S20 +
16-30 TONS
.
$25 - +
31-50TONS
.
S35 +
+s0TONS
$60 +
_
S - +
FEE DUB
F.2
[e'►$A"FAi1 M".: rn:Ir+stlsa ave ,'s
1!' Ol#iJl� 1C�'1X"X PRi(�'13t'Y"SR
Spokane County Dlvision of Buildings
1026 W. Broad-sy • Spokane, WA 99260
Tel. No. (309) 456-8679' Fax No. (509) 324-3198 • TDD No. (509) 324-3166
Spoksw County dose not diaerimimitl oo the basis of digs bdity in the sdmiaeieu to, or trwtmet++ or empto}O►eot it] its propsms or w6v"'ies.
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