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1995, 07-03 Permit App: 95004870 AC o ' \-\4:1-0 MECHANICAL PERMIT APPLICATION I/ C)- y ` t r li .- .r.. .___________ PROJECT ADDRESS: c", i 17 Lj)ri en ti..„r% • • L \\ L-` OWNER: �- M-.�� �. 1 1 \\i t'h'e PHONE: /of/ - 2 y i 0 MAILING ADDRESS: 9/4 O • (street) (city/state) (zip) -, CONTRACTOR: /'Oy`C-[? . D it e.-r LICENSE:�I�� �f A 61/ PHONE: MAILING ADDRESS: k 5 Jo rne - c---s�� io 9'9,v/� (street) /'' �>(city/statL) (zip) # n.,s,,- COST - DESCRIPTION OF WORK OF UNITS In�orr /UNIT ■ounsI AMOUNT 802 FUEL BURNING APPLIANCE .or<100,000 $12 - s B03 FUEL BURNING APPLIANCE >l00000 . $15 - s 80$ UNLISTED APPLIANCE(ADDITIONAL CHARGE) =or<400,000 $50 - s /305 TUNLISTED APPLIANCE(ADDITIONAL CHARGE)___•_____ ._ >400.000 $100 - s B06 USED APPLIANCE(Must meet WSECs min.AFUE rating) ..or<400.000 . $50 s B07 USED APPLIANCE(Must meet WSECs min.AFUE rating) >400.000 $100 - s BOB BOILER/REFRIGERATION t-loom gru $12 - s B09 BOILER/REFRIGERATION 101—S00M BTU i $20 . s B10 BOILER/REFRIGERATION 501-1.000M BTU . $25 s B11 BOILER/REFRIGERATION 1.001-1,7S0M BTU a $35 . s B12 BOILER/REFRIGERATION +1,7S0M BTU . $60 , $ B13 GAS LOG.GAS INSERT.AND/OR GAS FIREPLACE - $10 s B14 RANGE - . $10 s B15 DRYER - $10 . s B16 FUEL BURNING WATER HEATER - . $10 - s B17 MISCELLANEOUS FUEL BURNING APPLIANCE - $10 - s B18 GAS PIPING(ea.outlet) - . $1 - s B19 DUCT SYSTEMS - . $10 - . 820 VENTILATING FANS - $10 - s 821 AIR HANDLER(DOES NOT include duct systems) •or<10,00o CFM . $12 - $ B22 AIR HANDLER(DOES NOT include duct systems) >10,000 CFM . $15 _ s B23 EVAPORATIVE COOLERS - . $10 - s 11324 TYPE I HOOD - $50 - . 225 TYPE II HOOD - . £10 - s B26 HEAT PUMP/AIR CONDITIONER 0-5 TONS / . $12 _ . J, ), 0 b B27 AIR CONDITIONER 6-1S TONS $20 - s B28 AIR CONDITIONER 16-30TONS $25 - s • B29 AIR CONDITIONER 31-50 TONS . 835 - $ 830 AIR CONDITIONER +50 TONS $60 - s B31 LPG STORAGE TANK - • $10 . 832 WOOD OR PELLET STOVE/INSERT - • $25 - s NOTE:MINIMUM PERMIT FEE IS$35.00 Subtotal PLUS: PROCESSING FEE $25.00 SIGNATURE: :,1 6, ,4 rt---052— TOTAL PERMIT FEE DUE $ ,3 7, O 0 PLEASE MAKE CHECKS PAYABLE TO: Spokane County Division of Buildings SPOKANE COUNTY PERMIT CENTER 1026 W.Broadway•Spokane.WA 99260 Tel.No.(509)456-3675 •Fax No.(509)456-4703 •TDD No.(509)324-3166 M.rMrinedprrn.hod