1996, 01-04 Permit App: 96000091 Insert, Piping MECHANICAL PERMIT APPLICATION
PROJECT ADDRESS: l g a t -G- VAt-k-vg----( \I")'41
OWNER: 1 K I- a21a t KA-C (PHONE:DAYTIME CONTACT <g 1-Li Oct 1
MAILING ADDRESS: Illrnf.._ c et✓_a'� \Cl C t
(street) (ccrty/state) (zip)
CONTRACTOR: S�<, _ 1t-Fr c\i- s �- (1J�.x 3 LICENSE: `-PO K A 1-1 C' 1 S M J
PHONE: "3`3'S-t3`('-1 vl`
MAILING ADDRESS: . l 2.a-\ C -vbr\I-t=64^--r',1-4(i. ir)`"*< GiG)-(--T).-
(street) (city/state) (zip)
# MULTI- COST
OF U
DESCRIPTION OF WORK NITS Lasa s /UNIT aQmu.s AMOUNT
'B02 FUEL BURNING APPLIANCE =or <100,000 . $12 - s
3 FUEL BURNING APPLIANCE >100,00o . $15 - s
1304 UNLISTED APPLIANCE(ADDITIONAL CHARG =or <400,000 . $50 - s
`:8135 UNLISTED APPLIANCE(ADDITIONAL CHARG >400,000 . $100 - s
iiiii6 USED APPLIANCE(Must meet WSEC's min. AFU = or <400,000 . $50 - s
B ?USED APPLIANCE(Must meet WSEC's min. AFU >400,000 . $100 - s
`BBS BOILER/REFRIGERATION 1-100M BTU . $12 . s
169 BOILER/REFRIGERATION 101-500M BTU . $20 - s
Bl O BOILER/REFRIGERATION 501-1,000M BTU = $25 - s
iiii BOILER/REFRIGERATION 1,001-1,750M BTU = $35 - $
'Jib BOILER/REFRIGERATION +1,750M BTU . $60 - s
1: GAS LOG, GAS INSERT, AND/OR GAS FIREPLA - . $10 - s i 0 41'...-2--
B14 RANGE - $10 - s
:BIS DRYER - . $10 - s
VIS FUEL BURNING WATER HEATER - . $10 . s
B1' MISCELLANEOUS FUEL BURNING APPLIANCE - . $10 - $
BIS GAS PIPING(ea. outlet) - . $1 - s i
Bt9 DUCT SYSTEMS - . $10 - s
124 VENTILATING FANS - . $10 - s
:821 AIR HANDLER(DOES NOT include duct systems) =or <10,000 CFM . $12 - s
ifffi AIR HANDLER(DOES NOT include duct systems) >10,000 CFM . $15 . s
B23 EVAPORATIVE COOLERS - . $10 - s
B24 TYPE I HOOD - . $50 . s
:325 TYPE II HOOD - . $10 - s
B26 HEAT PUMP/AIR CONDITIONER 0-5 TONS . $12 - s
itil AIR CONDITIONER 6-15 TONS . $20 - s
1128 AIR CONDITIONER 16-30 TONS . $25 - s
B29 AIR CONDITIONER 31-50 TONS . $35 = 5
B3tl AIR CONDITIONER +50 TONS . $60 - s
:BM LPG STORAGE TANK - . $10 - s
R32 WOOD OR PELLET STOVE/INSERT - . $25 = s
NOTE: MIN PERMIT FEE IS$35.00 Subtotal
PLUS: PROCESSING FEE $25.00
SIGNATU TOTAL PERMIT FEE DUE $
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of Building& Planningii!SPO covin PE : N rei
Spokane County Departmentg
n WA 99260 ...................................
Broadway Spokane,1 26 W. roadwY*
0
Poka
Tel. No. (509)456-3675•Fax No. (509)324-3198 i TDD No. (509)324-3166
Spokane County does not discriminate on the basis of disability in the admission to,or treatment or employment in,its programs or act
7/693 rMaicYd