1976, 09-14 Permit App: E2558 Plumbing Fixtures `44-1(03, ol- s---(..
O el 3Z MECHANICAL PERMIT APPLICATION
PROJECT ADDRESS: �O 9 '- /I 9U , j aA. . )
OWNER: .Q7e r o s e a Y'S 'PHONE DAYTIME CONTACT 9��-/cl(a 3
MAILING ADDRESS:5 a-a
(street) (city/state) (zip)
CONTRACTOR:CAI i M /- /e e-r -e e sV C.S- LICENSE:(()rh(%e_ ()717 6 g
PHONE: 3 .2 cl- g0,a,3
MAILING ADDRESS:A, 99 /(kwp + " #i 0 S k uha . 19 a.1I
(s eet) city/s to r (zip)
01 MULTI. COST
DESCRIPTION OF WORK OF UNITS LRD a /UNIT uALS AMOUNT
1 FUEL BURNING APPLIANCE =or <100,000 . $12 - s
€B€3 FUEL BURNING APPLIANCE >100,000 . $15 - s
B0.4 UNLISTED APPLIANCE(ADDITIONAL CHARG =or <400,000 . $50 - s
005 UNLISTED APPLIANCE(ADDITIONAL CHARG >400,000 $100 . s
USED APPLIANCE(Must meet WSEC's min. AFU = or <400,000 = $50 . s
Bt 7 USED APPLIANCE(Must meet WSEC's min. AFU >400,000 . $100 - s
.i008 BOILER/REFRIGERATION 1-100M BTU = $12 - s
BOILER/REFRIGERATION 101-500M BTU = $20 = s
B10 BOILER/REFRIGERATION 501-1,000M BTU = $25 - s
B11 BOILER/REFRIGERATION 1,001-1,750M BTU _ $35 - s
100 BOILER/REFRIGERATION +1,750M BTU = $60 - s
lib GAS LOG, GAS INSERT, AND/OR GAS FIREPLA - .2 . $10 - s ,..Q G.c:%
314 RANGE - . $10 - s
13.1.5 DRYER - . $10 - s
8:16 FUEL BURNING WATER HEATER - . $10 - s
511 MISCELLANEOUS FUEL BURNING APPLIANCE - . $10 - s
$IS GAS PIPING(ea. outlet) - a- _ $1 = s ,7 . "=
::19 DUCT SYSTEMS - . $10 - s
2a VENTILATING FANS - $10 = s
S21.AIR HANDLER(DOES NOT include duct systems) =or <10,000 CFM . $12 = s
$22 AIR HANDLER(DOES NOT include duct systems) >10,000 CFM = $15 - s
:823 EVAPORATIVE COOLERS - . $10 - s
82+(TYPE I HOOD - . $50 - s
825 TYPE II HOOD - . $10 - s
1326 HEAT PUMP/AIR CONDITIONER 0-5 TONS = $12 - s
,1327 AIR CONDTTIONER 6-15 TONS = $20 = s
`$i8 AIR CONDITIONER 16-30 TONS . $25 - s
Ii29 AIR CONDITIONER 31-50 TONS . $35 - s
1AIR CONDITIONER +50 TONS . $60 - s
'821.LPG STORAGE TANK - . $10 - s
1332 WOOD OR PELLET STOVE/INSERT - . $25 = s
NOTE: MINIMUM PERMIT FEE IS$35.00 Subtotal
PLUS: PROCESSING FEE $25.00
SIGNATURE:Y /� ,x,,z,, TOTAL PERMIT FEE DUE $
v
of Building & Planning ::::.a' . i CO 1` PE ' 'I`Ek<
Spokane County Department
99260 .....................................
k WA
Spokane,ane
2 W Broadway*
10 6
P
Tel. No. (509)456-3675*Fax No. (509)324-3198 *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/$95 mra1maqng.W