1995, 08-11 Permit App: 95006192 Furnace, Piping MECHANICAL PERMIT APPLICATION i (
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PROJECT ADDRESS: (.,�c 2s s ' Dz �
OWNER: /2)7 L 1 l) r�rrn p s,,.// IPHONFs DAYTIME CON'fA- 5- '
MAILING ADDRESS: 2 U, .7 .S dk-e,/k'.P c— ,OK V /1.O LL 44/4- r 9 v3 2
(street) (city/state) (zip)
CONTRACTOR: rS r--_,/,.2,.._.(_,, LICENSE:
PHONE:
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MAILING ADDRESS: .
(street) (city/state) (zip)
if MULTI- COST
DESCRIPTION OF WORK OF UNITS LIED a /UNIT EQUALS AMOUNT
-: i': FUEL BURNING APPLIANCE =or <100,000 = $12 - s /2 a''
>100,000 . $15 I -
i?'`UNLISTED APPLIANCE(ADDITIONAL.CHARG = or <400,000 . $50 s
. i;UNLISTED APPLIANCE(ADDITIONAL CHARG >400,000 = $100 - s
: s::a USED APPLIANCE(Must meet WSEC's min. AFU = or <400,000 = $50 - s
17i.::.. USED APPLIANCE(Must meet WSEC's min. AFU >400,000 = $100 - s
1 'BOILER/REFRIGERATION 1-100M BTU . $12 - s
F:.i s BOILER/REFRIGERATION 101-500M BTU = $20 - s
i BOILER/REFRIGERATION 5o1-1,000M BTU = $25 - s
Bt BOILER/REFRIGERATION 1,001-1,750M BTU . _ $35 - s
it,BOILER/REFRIGERATION +1,750M BTU = $60 - s
:114`"GAS LOG, GAS INSERT, AND/OR GAS FIREPLA - _ $10 = s
1Dt...:RANGE - . $10 - s
iiii:1 DRYER - . $10 - s
B')' FUEL BURNING WATER HEATER - _ $10 - s
B >. MISCELLANEOUS FUEL BURNING APPLIANCE - _ $10 - s
GAS PIPING (ea. outlet) - . $1 - s ,2.
$)t' DUCT SYSTEMS - . $10 �__t___--
1$'.'1 VENTILATING FANS - _ $10 - s
:112 AIR HANDLER(DOES NOT include duct systems) = or <10,000 CFM = $12 = s
B'�:,AIR HANDLER(DOES NOT include duct systems) >10,000 Ci M . $15 = s
ST,EVAPORATIVE COOLERS - _ $10 - $
112'°TYPE I HOOD - . $50 - s
11::::,TYPE II HOOD - . $10 = s
52 HEAT PUMP/AIR CONDITIONER 0-5 TONS . $12 = s
11 . AIR CONDITIONER 6-15 TONS = $20 = s
82 AIR CONDITIONER 16-30 TONS = $25 - s
B:::' AIR CONDITIONER 31-50 TONS = $35 = s
ii....:11 AIR CONDITIONER +50 TONS = $60 = s
1113 LPG STORAGE TANK - . $10 = s
:k s WOOD OR PELLV /INSERT - _ $25 - s _
NOTE: MINIMUM/Pi' IT FEE IS $3 00 Subtotal ,-----
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PLUS: PROCESSING FEE $25.00
SIGNATU• .• - - . .! AO ,,_,�,� TOTAL PERMIT FEE DUE $
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Spokane County Department of Building& Planning1O ,WPEI( T NIEk
WA 99260
BroadwaySpokane,
1 2 W.
06
*
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
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