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1994, 12-12 Permit App: 94012148 Insert MECHANICAL,PE1 MIT APPLICATION 'ROii:Cr'ADDRESS: �LO ) • \l`j jU r IWNE12: e 1 1 Coir IPIIONE: cur-) 05c1(.0 1AI1.ING ADDRESS: 5C0 (street) (city/state) (zip) )ON'TRACTOR: BA- 12-7-CA 'EI k_ER,/C€ SH DPPC 11C LICENSE: 1 -112-TOFS 0 C i \� 5 ,�y� M PHONE: q0c)- O IAILING ADDRESS: C_ 11�D I I / /0)l�16-OI r rE1 Li c�7P0k ,4 M E 1t)A 99,2o(0 (street) (city/state) (yip) # w.. - COSI' DESCRIPTION OF WORK OF II1TS mum_w JUNK Booms AMOUNT 102 FUEL BURNING APPLIANCE =or<100,000 . S12 - s 103 FUEL BURNING APPLIANCE >100.000 $15 - , 104 UNLISTED FUEL BURNING APPLIANCE =or<401000 , $50 s 105 UNLISTED FUEL BURNING APPLIANCE >400,000 . $100 - , 106 USED APPLIANCE(Must meet WSECs min.AFUE rating) =or<400.000 $50_ - s 107 USED APPLIANCE(Must meet WSECs min.AFUE rating) >400.0005100 - s 108 BOILER/REFRIGERATION 1-100M BTU . $12 - s 109 BOILER/REFRIGERATION 1o1-so0M BTU . S20 - s 110 BOILER/REFRIGERATION 501-1.000M BTU $25 - , III BOILER/REFRIGERATION 1.001-1.750M BTU 5.35 - , 112 BOILER/REFRIGERATION +1.750M BTU , $60 - , . 113 GAS LOG,GAS INSERT,AND/OR GAS FIREPLACE - f . S10 - , )0.00 114 RANGE - . $10 - , 115 DRYER - • $10 - s 116 FUEL BURNING WATER HEATER - . $10 - , 47 MISCELLANEOUS FUEL BURNING APPLIANCE - . $10 - , 48 GAS PIPING(ea.outlet) - I $1 - s j .on :19 DUCT SYSTEMS - $10 - s 20 VENTILATING FANS - . $10 - s 21 AIR HANDLER(DOES NOT include duct systems) =or<10.000 CFM . $12 - s 22 AIR HANDLER(DOES NOT include duct systems) >10.000CFM $15 - s 23 EVAPORATIVE COOLERS - . $10 , 24 TYPE I HOOD - $50 - . .25 TYPE II HOOD - $10 s 26 HEAT PUMP/AIR CONDITIONER 0-5 TONS . $12 , 27 AIR CONDITIONER 6-15TONS , $20 - s 28 AIR CONDITIONER 16-30'IONS . $25 - , 29:AIR CONDITIONER 31-50TONS a $35 - s 30 AIR CONDITIONER +50 TONS S60 . s 31 LPG STORAGE TANK - $10 - , _ 32 WOOD OR PELLET STOVE/INSERT - • $25 - s NOTE:MINIMUM PERMIT FEE IS$35.00 Subtotal '1,00 PLUS: PROCESSING FEE $25.00 SIGNATURE: 9I 'X l t-C1 TOTAL PERMIT FEE DUE S . (n g 0 PLEASE MAKE.CHECKS PAYABLE TO t4) aneCounty Division of Buildings SPOKANECOUNTYPERM1Tit ✓NTER ` ' 126 W.Broadway•Spokane,WA 99260 sl.No.(509)456-3675 •Fax No:(509)456-7403`TDD No:(509)324-3166 { wui.Iertmechrenn.hnd "