1995, 09-19 Permit App: 95007441 Mechanical Fixtures MECHANICAL PERMIT APPLICATION
PROJECT ADDRESS: 4/ gas-7------ w1 .//4 L-' v /7
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OWNER: / C)<"..e zz l,' < /� �/+/ 'PHONE:DAYTIME CONTACT /,2 //:-.C'
MAILING ADDRESS: _..5',4,- ��z (�
(strt) (city/state) (zip)
CONTRACTOR: ��(" Chi me / }974- LICENSE: (f e=1n'iY (2 r7C.i
PHONE: ) 3 :;-7-S .2-
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MAILING ADDRESS: Vi7 6 <9 l ..-6
(street) (city/state) (zip)
DESCRIPTION OF WORK OF UNITS LIED I /UNIT sov� AMOUNT
:.0.`.,FUEL BURNING APPLIANCE =or <100,000 = $12 - s
FUEL BURNING APPLIANCE >100,000 $15 . $
:'i?;UNLISTED APPLIANCE(ADDITIONAL CHARG =or <400,000 . $50 - s
i H UNLISTED APPLIANCE(ADDITIONAL CHARG >400,000 $100 - s
*'a USED APPLIANCE(Must meet WSEC's min. AFU = or <400,000 = $50 - s
i` USED APPLIANCE(Must meet WSEC's min. AFU >400,000 . $100 - s
BOo'BOILER/REFRIGERATION 1-1ooM BTU = $12 = s
i'a BOILER/REFRIGERATION 101-5ooM BTU p = $20 = s
Bit BOILER/REFRIGERATION 501-1,000M BTU = $25 - s
WI BOILER/REFRIGERATION 1,001-1,750M BTU . . $35 - s
B1:BOILER/REFRIGERATION +1,750M BTU . $60 - s
Bl,°GAS LOG, GAS INSERT, AND/OR GAS FIREPLA - $10 - s
Rt.'RANGE - . $10 - s
B) 'DRYER - . $10 - s
BI FUEL BURNING WATER HEATER / . $10 - s
I>. MISCELLANEOUS FUEL BURNING APPLIANCE - . $10 - s
B€>GAS PIPING(ea. outlet) - _2. _ . $1 = $
SV DUCT SYSTEMS - . $10 - s
B;1 VENTILATING FANS - . $10 . s
:821 AIR HANDLER(DOES NOT include duct systems) = or <10,000 CFM = $12 = s
B;:.;;AIR HANDLER(DOES NOT include duct systems) >10,000 CFM = $15 = s
82''EVAPORATIVE COOLERS - . $10 - s
B2 a TYPE I HOOD - . $50 - s
B TYPE II HOOD - . $10 = s
B:: HEAT PUMP/AIR CONDITIONER 0-5 TONS = $12 = s
B::: AIR CONDITIONER 6-15 TONS = $20 - s
'82 os AIR CONDITIONER 16-30 TONS . $25 - s
B AIR CONDITIONER 31-50 TONS = $35 = s
B '$ AIR CONDITIONER +50 TONS = $60 = s
SI LPG
LPG STORAGE TANK - . $10 = s
ss:s WOOD OR PELLET STOVE/INSERT - . $25 - s
NOTE: MINIMUM PERMIT FEE I 35.00 Subtotal
'i7PLUS: PROCESSING FEE $25.00
/11—r"/
SIGNATURE: TOTAL PERMIT FEE DUE $
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Spokane County Department of Building& Planning <�P �? PRYriit OC>.:
*
WA 2
1026 W Broadway99 60
0 6
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
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