1995, 10-17 Permit App: 95008561 Gas Log, Piping Lici(p3, ogs7,
bpp el 3Z MECHANICAIJ PERMIT APPLICATION
PROJECT ADDRESS: ,,:,2,0q I / , Vim, 191 z Li p'- /
,OWNER: A%rO S e Q r-S 'PHONE:DAYTIME CONTACT CJ�Q I y(a
MAILING ADDRESS:.3cl-y)--R..._ G-0
/ / (street) (city/state) (zip)
CONTRACTOR: a / OA — ae eT --e S V C,,S. LICENSE:(#L ,C t? 07? ES i.
/ 1--t
PHONE: 3,;,2 SI- 9 a a,3
MAILING ADDRESS:A), 99 /!/86 e-W t'+ / "-/ ,n Sto ka-y-P hu ' 99'2/1
(stfeet) (city/s 1 (zip)
# MULTI- COST
DESCRIPTION OF WORK OF UNITS LED. //UNIT sQau.a AMOUNT
!.7...;',
~:a, $12 - s
�. ,FUEL BURNING APPLIANCE =or <100,000
13h,FUEL BURNING APPLIANCE >100,000 = $15 - s
t.',UNLISTED APPLIANCE(ADDITIONAL CHARG =or <400,000 = $50 - s
. `�UNLISTED APPLIANCE(ADDITIONAL CHARG >400,000 = $100 - s
. a USED APPLIANCE(Must meet WSEC's min. AFU =or <400,000 = $50 - s
illi. USED APPLIANCE(Must meet WSEC's min. AFU >400,000 = $100 - s
E ;;<BOILER/REFRIGERATION 1-100M BTU = $12 - s
i!e' '° BOILER/REFRIGERATION 1o1-sooM BTU = $20 - s
81:$ BOILER/REFRIGERATION 501-1,000M BTU = $25 - s
BOILER/REFRIGERATION 1,001-1,750M BTU _ $35 - s
'ht:.BOILER/REFRIGERATION +1,750M BTU = $60 - s
1::.GAS LOG, GAS INSERT, AND/OR GAS FIREPLA - -2 _ $10 - s ,. 6,,c1=
1131:RANGE - _ $10 - s
Bi.:- - . $10 - s
`. 'I'"FUEL BURNING WATER HEATER - . _ $10 - s
F . MISCELLANEOUS FUEL BURNING APPLIANCE - _ $10 - s
tali,'GAS PIPING(ea. outlet) - ,- _ $1 - s , • 9=
tiiP DUCT SYSTEMS - _ $10 - s
BI.VENTILATING FANS - _ $10 - s
B2" AIR HANDLER(DOES NOT include duct systems) = or <10,000 CFM = $12 - s
:<;AIR HANDLER(DOES NOT include duct systems) >10,000 CFM = $15 - s
$2'EVAPORATIVE COOLERS - . $10 - s
B:r TYPE I HOOD - _ $50 - s
B; TYPE II HOOD - _ $10 - s
112 HEAT PUMP/AIR CONDITIONER 0-5 TONS = $12 - s
lB AIR CONDITIONER 6-15 TONS = $20 - s
:132:AIR CONDITIONER 16-30 TONS = $25 - s
`13C AIR CONDITIONER 31-50 TONS = $35 - s
S`s AIR CONDITIONER +50 TONS = $60 - s
12 LPG STORAGE TANK - . $10 - s
;:ii-:- WOOD OR PELLET STOVE/INSERT - _ $25 - s
NOTE: MINIMUM PERMIT FEE IS$35.00 Subtotal
PLUS: PROCESSING FEE $25.00
SIGNATURE: C`�,�x,„..,� TOTAL PERMIT FEE DUE $ 14'7., :.:.
Spokane
County Department
ep
artment
of Bildin &
Planning ` P�.) toarl t li R>
1026 W. Broadway* Sokane WA 99260 :: .. : : :: : n : ;: : :a: : :::: : : :
.
Tel. No. (509)456-3675*Fax No. (509)324-3198*TDD No. (509)324- 166
Spokane County does not discriminate on the basis of disability in the admission to,or treatment or employment in,its programs or act
7/6,95 rMalydpna.W