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1995, 09-29 Permit App: 95007909 Gas Log, Piping MECHANICAL PERMIT APPLICATION 0\5 _-1g0c1 'KOJECK I'ADUhSS 1 Da t o4 `1(� ^ IWNEK: �L 1 61L- Int_ t-�) ��{ 'PHONE: (AILING ADDRESS: , ' r� \ _ , 4 ``4 %AL_ . Ct,C f'�(street) `� � (city/sl:tc) (zip) !OWFRKACFOR: �4 (o1) "1-I_BRACE. SH Op oc ) C LICENSE: Si'1 Imo' -0 G(. .1 NU J PHONE: Qp7 )- coax) (AILING ADDRESS: C_ // /O/ MOM-16-0/Y)6/2--L' jPOk/I M E Id/i 99226(0 (street) (city/state) (zip) * uo,,- COST DESCRIPTION OF WORK OF UNITS MAW PY_ /UNIT Boons AMOUNT 102 FUEL BURNING APPLIANCE =or<100,000 $12 - s 10.3 FUEL BURNING APPLIANCE >too,00n $15 - s 104 UNLISTED FUEL BURNING APPLIANCE =or<400,000 . $50 - s 105 UNLISTED FUEL BURNING APPLIANCE >400.000 $100 - s 106 USED APPLIANCE(Must meet WSEC's min.AFUE rating) =or<400,000 . $50 - s 107 USED APPLIANCE(Must meet WSEC's min.AFUE rating) >400A00 $100 - s 108 BOILER/REFRIGERATION 1-100M BTU . $12 - : 109 BOILER/REFRIGERATION lot-500M BTU . $20 - s 110 BOILER/REFRIGERATION 501-1,000M BTU $25 - s Ill BOILER/REFRIGERATION 1,001-1,750M BTU . $35 - , 112 BOILER/REFRIGERATION +1,750M BTU . $60 - s 113 GAS LOG,GAS INSERT,AND/OR GAS FIREPLACE - ( $10 - s 60 0 114 RANGE - . $10 - s 115 DRYER - . $10 - s 116 FUEL BURNING WATER HEATER - . $10 - s i17 MISCELLANEOUS FUEL BURNING APPLIANCE - . $10 - : 118 GAS PIPING(ea.outlet) - I . $1 - s 1. DD 119 DUCT SYSTEMS - . $10 - s 20 VENTILATING FANS - . $10 - r 21 AIR HANDLER(DOES NOT include duct systems) =or<1O.000 CFM . $12 - s 22 AIR HANDLER(DOES NOT include duct systems) >10,000CFM . $15 - s 23 EVAPORATIVE COOLERS - . $10 - s 24 TYPE I HOOD - . $50 - $ 25 TYPE II HOOD - . $10 - s 26 HEAT PUMP/AIR CONDITIONER 0-5 TONS . $12 - s 27 AIR CONDITIONER 6-15 TONS . $20 - s 28 AIR CONDITIONER 16-30 TONS . $25 - , 29 AIR CONDITIONER 31-SO TONS . $35 - _ 30 AIR CONDITIONER +50 TONS . $60 - s 31 LPG STORAGE TANK - $10 - $ 32 WOOD OR PELLET STOVE/INSERT - $25 - i NOTE: MINIMUM PERMIT FEE IS$35.00 Subtotal )1,C,0 PLUS: PROCESSING FEE $25.00 SIGNATURE: TOTAL PERMIT FEE DUE $ •C)O PLEASE MAKE CHECKS PAYABLE TO lokanc County Division of Buildings SPOKANE COUNTY PERMIT CENTER 126 W. Broadway•Spokane,WA 99260 :1. No. (509)456-3675 •Fax No. (509)456-7403 •TDD No. (509)324-3166 mn.tcr\mcchperm.hnd