1994, 02-02 Permit App: 94000838 Furnace 40-e/iL ilavA^ d` 1 u MECHANICAL PERMIT APPLICATION 614--2
PROJECT ADDRESS: /* 2 `/ E Y i.//e CC A ( Gi-ef'17 4 et0—Fie.S 1 /iJ& '4ii
! /
OWNER: Jo'
5 e c (J //D G[ J 2-PHONE: ?— Z 6- 39,c2_..5—
MAILING
2_5MAILING ADDRESS: PO . 130 x .32 / C S r e e n a c re_5' /2/0` 9,' / "O .3a /
(street) (city/state) (zip)
CONTRACTOR: STT( R JI c / j / . T ne; LICENSE: ST(4 R Al :1 # ,,2 /1) QF
17 G aC ti Onlf. PHONE: gb 9 3 a 5-1 - So_C-
M A I LING
MAILING ADDRESS: E..20 S/ I),a1r4,,,a .ti-e e gpe 1(,177 N UJet 9 9„2) 7
(street) (city/state) / (zip)
ilt ALTs- COST
DESCRIPTION OF WORK OF UNITS TUEDBY /UNIT EQUALS AMOUNT
1302 FUEL BURNING APPLIANCE =or<100,000 ,i = $12 - s
B0FUEL BURNING APPLIANCE _ >100,000 = $15 - s
B04 UNLISTED FUEL BURNING APPLIANCE =or<400,000 = $50 - s
B05V UNLISTED FUEL BURNING APPLIANCE >400,000 = $100 - s
$06 USED APPLIANCE(Must meet WSEC's min.AFUE rating) =or<400,000 = $50 - s
B07 USED APPLIANCE(Must meet WSEC's min.AFUE rating) >400,000 = $100 - s
B08`BOILER/REFRIGERATION 1-100M BTU = $12 - s
809 BOILER/REFRIGERATION 101-500M BTU = $20 - s
1110 BOILER/REFRIGERATION 501-1,000M BTU = $25 - s
B11 BOILER/REFRIGERATION hoot-1,750M BTU = $35 - s
B12'BOILER/REFRIGERATION +1,750M BTU = $60 - s
B13 GAS LOG,GAS INSERT,AND/OR GAS FIREPLACE — _ $10 - s
B14'.RANGE — _ $10 - s
B15 DRYER — _ $10 - s
816 FUEL BURNING WATER HEATER — _ $10 - s
1317 MISCELLANEOUS FUEL BURNING APPLIANCE — _ $10 - s
B1$ GAS PIPING(ea.outlet) — _ $1 -
1119 DUCT SYSTEMS — _ $10 - s
1320;:VENTILATING FANS — _ $10 - s
B21 AIR HANDLER(DOES NOT include duct systems) =or<10,000 CFM = $12 - s
B22 AIR HANDLER(DOES NOT include duct systems) >10,000 CFM = $15 - s
B23 EVAPORATIVE COOLERS — _ $10 - s
824;TYPE I HOOD — _ $50 - s
B25 TYPE II HOOD — _ $10 - s
1326 HEAT PUMP/AIR CONDITIONER 0-5 TONS = $12 - s
B27 AIR CONDITIONER 6-15 TONS = $20 - s
B28 AIR CONDITIONER 16-30 TONS = $25 - s
B29 AIR CONDITIONER 31-50 TONS = $35 - s
B30 AIR CONDITIONER +50 TONS = $60 - s
B31:LPG STORAGE TANK — _ $10 - s
B32 WOOD OR PELLET STOVE/INSERT — _ $25 - s
Subtotal
NOTE: MINIMUM PERMIT FEE IS$35.00 PLUS: PROCESSING FEE $25.00
TOT DUE $ /2-, b'
SIGNATURE: A , 0 4/ � .L � Q
ant ISPOKANE COUNTY DIVISION OF BUILDINGS
��`•c/mo,, WEST 1026 BROADWAY AVENUE`SPOKANE,WA 99260 * (509)456-3675
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