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1995, 06-22 Permit App: 95004505 AC
ROt8CT ADDRESS: E, 1 5b U Chi ` `SQL q/3-(1505 WNER: 4- AILING ADDRESS:' . 1s 3NTRACTOR: ci D (o - Ct 3- ci D - TPP UhT_ PV ate (zp) ISM AI-REVHI 141 QH 11TP rnmTmnr AV ttGJ15 3, a73,(a 'PHO 924-0018 AILING ADDRESS: E. 7 2 0 3 NORAr SPOKANE WA 9 9 212 (stmt) (c1 ) (tiPL . ci. No. (509) 456-3675 • Fu No. (509) 456-4703 ` TDD No. (309) 324-3166 •WNMfrith p.nn.hd 1 P cR wrreN OILvottz I W t+ww- of !DAV niter fsfr... AMOUNT 2 PUELBURNINO APPLIANCE . «(100.000 fur. 212 . _ , ad` 434 FUEL BURNING .. CE UNLISTED APPLIANCE (ADDITIONAL C AAo , .. .. • « si00.000 350 . , 05' UNLISTED APPUANCBSADDITIONAL CRAMS) ).4ossoo • 3100 . 506✓ USED APPLIANCE (Must mast WSECs lain. APUE rating)..r (eoo 000 . S50 . . MySED ,, APPLIANCE (Must most WSEC's min. APUE rating) �oo•000 . 5103 - BOII1R/REFRIGERATTON 1-toow>:ty . • S12 - , BOIIER/REFR1GERATION 1oi-M4 Yru 1 1 S20 . . 11Y130ILER/REFRIQERATION `t,opas RTU , 325 - r 3I1: BOLLER/REFRIGERATION 1.001-3a304 ITU 335 - 312; BOILER/REFRIGERATION _ •1.7$O11 WIU_ S60 • • 3131 OAS LOG. OA., INSERT. AND/OR GAS FIREPLACE - . 310 . • 3 RANGE - SIO . r 315' DRYER - S10 . 1 `r 3167 FUEL BURNING WATER HEATER - ... 210 . , 31 MISCELiANEOUS FUEL Bt BNDMAPPLIANCE - 310 , 318 GAS PIPING (esl outlet) - 21 - , 314. DUCT SYSTEMS - 6 310 - , 320 VENTILATING FANS - 310 , 32 A1R HANDLER (DOES NOT include duct systems) !� +. er 00.000 OW 312 . , 321: AIR HANDLER (DOES NOT include duet *ems) b10•000 cwt 215. . , ;271EvApoRATTvE cooL S - . 310 . , 324' TYPE I HOOD - , S50 • r 32S'TYPE II HOOD - _ . 310 • , 326 32T HEAT PUMP/AIR CONDITIONER 0-STONS AIR CONDITIONER 6-1STONI 1 312 220 • _ - • I .00 AIR CONDITIONER 16-30Torts . S25 - 3 AIR CONDITIONER st-soToN1 S33 - 1 Iib' AIR CONDITIONER .so•r wNa 360 - , B31`. LPG STORAGE TANK - . S10 . 332! WOOD OR PELLET STOVS+IINSERT - 3251_ NOTE: MINIMUM PERMIT PEE IS $33.00 Subtotal 1 "� PLUS. PROCURING FEB $25,00 l SIGNATURE: \- \ (% J( j ( Q ictzk TOTAL PERMIT FEE DUE S -1, Spokane County Division of Buildup 1026 W. Broadway • Spokane. WA 99260 LSASB'11SA1aE •C1> $ A •SPp Q'COUI,Tl'Y.,ER24G'i„,r�.•6im1Zt- •.• ,. , • c. -.7 , " 'Mt/ i-_ '.. 1' .' • � ”: ;:m. . ci. No. (509) 456-3675 • Fu No. (509) 456-4703 ` TDD No. (309) 324-3166 •WNMfrith p.nn.hd