1994, 10-04 Permit App: 94009755 Furnace \�_4\r,`,.. _.(.._)'M,_)\,P\y )x NAf3 RC1 _ CA'q-z, - . \1J \ X \sy,vV)\
32-52 -ogj3
MECHANICAL PERMIT APPLICATION Q4 q 155
IO1ECr ADDRESS: .� , 1 \ c\ f'_\ --71�
VNER: .\-\1\<' r 4 \F._\ -__\-1,_��,�Jti: f.�, IPHONE: ..3‘----; - 1�Q
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HUNG ADDRFSS: �� \ -1 1 E-Vl 't Y. -- C�-:c.5 `(', c: 0u G 1, e 3
(street) (city/stat ) ._ = (zip)
)NTRACTOR: \ c"•-< \c__A\ \-- ,c3..7\\ (I , LICENSE:
PHONE:
AILING ADDRESS: C_ A(\'. -'�;/7\j". 9��;0 C- , f) CI c_�,CA \f ..3
(street) A (city/state) (zip)
# Isamu; COS I
DFSCRIPTION OF WORE OF UNITS 1PUInnr_ /UNIT 1100 1113 AMOUNT
FEL BURNING AP/i-IAN-CE ' -a:1)00 .
4 FUEL BURNING APPLIANCE >100.000 a S15 - s
:broski11u.1;l+J:411:10:1`toCss: 4;i0r. `►CO• mo(<400,003 ■ $50 - •
ikl�+�.�iEIe..)a+�:�A•1+I•i:��.cs1 ;I;?• a (1- >400000 $100 -
s.4?Lll tut meet " :T smut. I + • .r :' -or<4o111900 - $50 -
illta •ust meet " :r smut. \ + : • .;' >400,000 $100 - s
ig BOILER/REFRIGERATION 1-100M BTU ` $12 - s
:? BOILER/REFRIGERATION 101-500M BTU a S20 - s
BOIIER/REFRIGERATION SO1-1.000M BTU a S25 - s
BOILER/REFRIGERATION 1.001-1.7SOM BTU a $35 - i•
q BOILER/REFRIGERATION +1,750M BTU a S60 - s
'; GAS LOG,GAS INSERT.AND/OR GAS FIREPLACE a $10 - s
RANGE - $10 - s
. $10 - t
' DRYER -
4 FUEL BURNING WATER HEATER - a S10 - s
1c E71C:10+air: loan ioi:s+1:1.)0Zil.ci:NQ4ir: :c6111111111 - s $10 - :
GAS PIPING ea.outlet - $1 - s
i''''',.DUCT SYSTEMS - S10 - s
a:VENTILATING FANS - a $10 - s
s' ' us or<10.000 CAM , a 512 - t
��AER HANDLER fDOF.:.NOT include duct mei
:%�t,,,,.. , w !L, • 111111111 >10.000 C1214 a $15 - t
EVAPORATIVE COOLERS - s S10 - s
-
`,;,� 'E I HOOD a $50 - s510 - s
: 'E II HOOD - `
: IN HEAT PUMP/AIR CONDTIIONER 0-STONS a $12 - s
: AIR CONDITIONER 6-1S TONS a $20 - s
.
Ji AIR CONDTIIONER • '16-30 TONS a $25 - s
d AIR CONDITIONER 31-50 TONS a $35 - s
AIR CONDITIONER +SOTonsS60 - s
LPG STORAGE TANK - $10 - s
t k` �:'L•Z•)gDIA a i i l l'a 'MP 11th - a $25 • - s
Subtotal l
NOTE P $535.00 PLUS: PROCESSING FEE $25.00
7TOTAL PERMIT FEE DUE S 7,0c)
�; 1 4' . Lk ' it6'
Of---
SIGNATURE:
KANE COUNTY DIVISION OF BUILDINGS
WEST I026-IIROADWAY AVENUE•SPOKANE.WA 99260• (509)456-3675
n.w.ieAmedine.m.hnd