1995, 09-05 Permit App: 95006981 Insert, Piping MECRANiCAL PERMIT APPLICATION — (0(111 l
PROJECT ADDRESS: /Ci1E3 Liz-,
OWNER: TB/// 4)/ vL-GU5 )7 b�, PHONE: £ 7
7c _
MAILING ADDRESS: V 0,/�a-.-.,Qp (�(.J� L? cjo3:
(street) (city/state) (zip) '
CONTRACTOR: 5Tr-" SCOP LICENSE:FALCCGC"I 7 3 D U
PIIONE: o"E_Q01 1
NI AILING ADDRESS: P. 931 0 SPRAGUE SPOKANE WA 99206
(street) (city/state) (zip)
# w,.n- 1 COST
! DESCRIPTION OF WORK OF UNITS ! ar! /UNIT I
!rt.= Tovms AMOUNT
B02!FUEL BURNING APPLIANCE I =or<100.000 I $121 - s
.B03 IFL'EL BURNING APPLIANCE >103.000 I I� I $151 - s
B04!UNLISTED APPLIANCE(ADDITIONAL CHARGE) =or<400.000 1 . I S50 s
—
B051UNTISTF )APPT..TANCE(ADDITION.\L j >.soo.tw I I . I 5100 - Is
1306;USED APPLIANCE(Must meet WSECs min.AFUE rating) I =or<400.000 I . I £501 - s r
y • 1
:B07 IUSED APPLIANCE(Must meet WSECs min.AFUE rating) >4001X)0 . I $100 - s
B08IBOILERREFRIGERATION 1-100M BTU I . I S12 s'
B09 IBOILERVREFRIGERATION tot-500M BTU I . S20 - Is
B10'BOILER/REFRIGERATION 501-1.000M BTU . ( S25 - Is
B11 IBOILER/REFRIGERATION 1.001-1.750M BTU! S35 - s
!B121BOILER/REFRIGERATION I +1.750MBTU 1 I . I S60 . s
IB13 IGAS LOG.GAS INSERT.AND/OR GAS FIREPLACE - I / I • I $10 - s /T} .
IB14 'RANGE - I I • I S10 - $
IB15 ;DRYER - I S10 . s •
B16 IFUELBURNING WATER HEATER - i • I $10 - Is I
• I
B17 tIMISCELLANEOUS FUEL BURNING APPLIANCE - $10 - Is 1
B18IGAS PIPING(ea.outlet) - / Sl . s '
IB19 IDUCT SYS 1 L MS - I . $10 . $
B20;VENTILATING FANS I - I . • $10 . Is
B21 MIR HANDLER(DOES NOT include duct systems) I =or<10.000 CFM . I £12 - Is
1822 LAIR HANDLER(DOES NOT include duct systems) I >10.000 CFM . I $15 s
B23 ;EVAPORATIVE COOLERS I - I I S10 - Is
IB24 TYPE I HOOD ' - I • S50 - Is
1B25 ITYPE II HOOD i - I I . I $10, - s
B26 UIIAT PUMP/AIR CONDITIONER o-5 TONS i • S12 - s
!B27 AIR CONDITIONER I 6-15 TONS $201 - s
IB28!AIR CONDITIONER ( 16-30 TONS I S25 - r
jB29 LAIR CONDITIONER 31-5o TONS . 5.35 - s
B30IAIR CONDITIONER I +50 TONS I $60 - s
;B 31 ;LPG STORAGE TANK ( - 510 . s
11332!WOOD OR PELLET STOVE,INSERT - I • S25 - s
NOTE: MINIM , f PERMIT FE IS 535.00 I Subtotal /r
/ / PLUS: PROCESSING FEE $25.00
SIGNATURE: ,1 / f TOTAL PERMIT FEE DUE $ 6 -----
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 • Fax No. (509)456-4703 •TDD No. (509)324— 66
ma•mrmcchperm.hnd SteA/131 oPy 70 Ftegico