1996, 01-02 Permit App: 96000012 Furnace, PIping M 0 i LaL( 67 y,ECHANICAL PE4MIT ADPL ATION
PROJECT ADDRESS: 3 3// s. C{j/ /,3 r _..
OWNER: 'l r h,2-i d alz_ )k E'PHON /DAYTIME CONTACT
MAILING ADDRESS: .�I / 4 )Ir I//,�te_/- ... /2 .4_4_,_/(C
(street) city/state) /�` / (zip)
CONTRACTOR: li(j,diifa�tJ i4fF 1-- 4/C _LA1�'. LICENSE: E'Ju-/eL1i7D5(ny
`/` PHONE: 9/— S//O
MAILING ADDRESS: //615- F. z S tu 44 917660
6O
(street) (city state) (zip)
# MULTI- COST
DESCRIPTION OF WORK OF UNITS ®a /UNIT EQUALS AMOUNT
:lam FUEL BURNING APPLIANCE =or <100,000 / _ $12 - s 11‘).(y)
11 D3 FUEL BURNING APPLIANCE >100,000 = $15 - s
IBM UNLISTED APPLIANCE(ADDITIONAL CHARG =or <400,000 = $50 - s
B• #5 UNLISTED APPLIANCE(ADDITIONAL CHARG >400,000 = $100 - $
3O6 USED APPLIANCE(Must meet WSEC's min. AFU =or <400,000 = $50 - s
:B USED APPLIANCE(Must meet WSEC's min. AFU >400,000 = $100 = s
• S BOILER/REFRIGERATION 1-100M BTU = $12 - s
1109 BOILER/REFRIGERATION 101-500M BTU = $20 - s
I.10 BOILER/REFRIGERATION 5o1-1,000M BTU = $25 - s
BR I BOILER/REFRIGERATION 1,001-1,750M BTU = $35 - s
titil BOILER/REFRIGERATION +1,750M BTU = $60 - s
:x:1:3 GAS LOG, GAS INSERT, AND/OR GAS FIREPLA - $10 - s
1414 RANGE - . $10 - s
B S DRYER - . $10 - s
'016 FUEL BURNING WATER HEATER - . $10 - s
Bl'X MISCELLANEOUS FUEL BURNING APPLIANCE - _ $10 - s
B18GAS PIPING (ea. outlet) - _ $1 - s Q- on
B19 DUCT SYSTEMS - . $10 - $
pa VENTILATING FANS - . $10 - s
B21 AIR HANDLER(DOES NOT include duct systems) = or <10,000 CFM = $12 - s
B22 AIR HANDLER(DOES NOT include duct systems) >10,000 CFM . $15 - s
:1323 EVAPORATIVE COOLERS - . $10 - s
BTYPEIHOODD - . $50 - s
B25 TYPE II HOOD - . $10 - s
1326 HEAT PUMP/AIR CONDITIONER 0-5 TONS = $12 - s
B22 AIR CONDITIONER 6-15 TONS = $20 - s
B28 AIR CONDITIONER 16-30 TONS = $25 = s
B29 AIR CONDITIONER 31-50 TONS = $35 - s
iii)AIR CONDITIONER +50 TONS = $60 - s
$3'I LPG STORAGE TANK - . $10 - s
Eh WOOD OR PELLET STOVE/INSERT - _ $25 - s
NOTE: MINIMUM PERMIT FEE IS $35.00 Subtotal / OO
PLUS: PROCESSING FEE $25.00
�+ TOTAL PERMIT FEE DUE $
SIGNATURE: 7)0 Gist Y��� ;C0
Ingogiimaiipacp
Pl At3
Planning > O PERMI' . `EE
Spokane County Department of Building&
n WA 99260
1026 W.
Broadway
Spokane,e
*
P
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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