1996, 05-09 Permit App: 96003235 Gas Log, Piping •
MECHANICAL PERMIT APPLICATION F I
PROJECT ADDRESS: 31 U 1d. V/s-M ''Pc K�n e � 1 %'9;),Z
OWNER 90 M
GD..› 'PHONE:DAYTIME CONTACT gZIP 'a q-Z-7
MAILING ADDRESS: 310 N• V s J Pck'4 iv, 1A 147ziff-
street)
(city/state)
CONTRACTOR: C.!`I i)f -d r an'Er LICENSE: 6%149e c. .40 -2-76e
PHONE: 3 Z U—9z 2 3
MAILING ADDRESS: 6 6 lei H tfE 0/1 le- -7;00 3 R7 ket)1.10, 1,0 ft qq z b 7
(street) (city/state) (zip)
# mum COST
DESCRIPTION OF WORK OF UNITS LIED a /UNIT EQUALS AMOUNT
iii.
FUEL BURNING APPLIANCE =or <100,000 . $12 - s
1303 FUEL BURNING APPLIANCE >100,000 . $15 = s
:13114 UNLISTED APPLIANCE(ADDITIONAL CHARG =or <400,000 $50 - a
:iiii5 UNLISTED APPLIANCE(ADDITIONAL CHARG >400,000 . $100 - s
USED APPLIANCE(Must meet WSEC's min. AFU =or <400,000 = $50 - s
USED APPLIANCE(Must meet WSEC's min. AFU >400,000 = $100 - s
BOILER/REFRIGERATION 1-100M BTU = $12 - a
` 9 BOILER/REFRIGERATION 101-500M BTU = , $20 - ,s
BIO BOILER/REFRIGERATION 501-1,000M BTU = $25 = $
'B1#BOILER/REFRIGERATION 1,001-1,750M BTU = $35 - s
Oh BOILER/REFRIGERATION +1,750M BTU = $60 = s
B°I3 GAS LOG, GAS INSERT, AND/OR GAS FIREPLA - . $10 - $ /CT- (P.t
RANGE - . $10 - s
$15 DRYER - . $10 - s
tit FUEL.BURNING WATER HEATER - . $10 = s
0.7 MISCELLANEOUS FUEL BURNING APPLIANCE - _ . $10 = s
B18 GAS PIPING(ea. outlet) - . $1 - s J 6 G
:1 :19 DUCT SYSTEMS - . $10 - s
24 VENTILATING FANS - _ $10 - $
B21.AIR HANDLER(DOES NOT include duct systems) = or <10,000 CFM = $12 = s
X822 AIR HANDLER(DOES NOT include duct systems) >10,000 CFM = $15 = s
$23 EVAPORATIVE COOLERS - . $10 = s
B24 TYPE I HOOD - . $50 - s
:825 TYPE II HOOD - . $10 = s
B26 HEAT PUMP/AIR CONDITIONER 0-5 TONS = $12 - s
`$2?AIR CONDITIONER 6-15 TONS = $20 - s
B28 AIR CONDITIONER 16-30 TONS = $25 - s
1429 AIR CONDITIONER 31-50 TONS = . $35 - s
B3J AIR CONDITIONER +50 TONS = $60 - s
'8U1 LPG STORAGE TANK - . $10 = s
Iltd WOOD OR PELLET STOVE/INSERT - $25 - s
NOTE: MINIMUM PERMIT FEE IS$35.00 Subtotal /7 6 U
PLUS: PROCESSING FEE $25.00
SIGNATURE: TOTAL PERMIT FEE DUE $ VI t26
ttaEASv1K>aCaEs✓KS
Spokaneokane County
Departmentar
trnent of
f Buildin &
Planning
o .: .::: �k:.:> <
1026 W Broadway*Spokane,WA 99260 :
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
7/6195 rMakwslyina.W