1993, 12-07 Permit App: 93011719 Mechanical Fixtures MECHANICAL PERMIT APPLICATION U0=;, �� _
PROJECT ADDRESS: t.,5 j c.;? c.5. Ao-ocat).--/-f ,----k,,e).i/a,-,./Le_..
OWNER: (?.41,/,1_,2„, _,I, \ PHONE: , , 2 .E.T6
MAILING ADDRESS: ����� � D� ����' 9��6
(street) (city/state' (zip)
CONTRACTOR:Pi D►?I-A ‘1‘) EST 14 E AT,N G 4 P}l(?g' I N C° LICENSE: N ORT Ht A 0 '7 22'0
PHONE: 9 A A- 41 GI 2 9
MAILING ADDRESS:(P.O. Bo t. /3 yi 9 5 ad kA N e, ca/3 99.1 /3
(street) (city/state) (zip)
# MULTI— COST
DESCRIPTION OF WORK OF UNITS moo NY !UNIT a01/ AMOUNT
FUEL BURNING APPLIANCE =or<100,000 / _ $12 _ s /0?. C
.FUEL BURNING APPLIANCE >10o,000 = $15 - s
:kw UNLIS 12.0 FUEL BURNING APPLIANCE =or.<400,000 = $50 - r
B05.: UNLISTED FUEL BURNING APPLIANCE >400,000 = $100 - s
gig USED APPLIANCE(Must meet WSEC's min.AFUE rating) -or<400,000 = $50 - s
Aiiii USED APPLIANCE(Must meet WSEC's min.AFUE rating) >400,000 = $100 - s
BOL ER/REFRIGERATION 1-100M BTU = $12 - s
BOILER/REFRIGERATION 101-500M BTU = $20 - s
OW BOILER/REFRIGERATION so1-1,000M BTU = $25 - s
Alt BOILER/REFRIGERATION Loot-1.750M BTU = $35 - s
Bii BOILER/REFRIGERATION +1,750M BTU 2, $60 - s
$i3 GAS LAG,GAS INSERT,AND/OR GAS FIREPLACE - = $10 - s
i4:RANGE - = $10 - s
:)31 ': DRYER - = $10 - s
it FUEL BURNING WATER HEATER - / = $10 - : /0 , 0o
i MISCELLANEOUS FUEL BURNING APPLIANCE - = $10 - s
`Si$' GAS PIPING(ea.outlet) - A = $1 _ $ .D
1110 DUCT SYSTEMS - = $10 _ s
Wit:VENTILATING FANS - = $10 - s
ittr:AIR HANDLER(DOES NOT include duct systems) =or<10,000 CFM 21 $12 - s
.AIR HANDLER(DOES NOT include duct systems) >10,000CFM = $15 - s
. •'EVAPORATIVE COOLERS - = $10 - s
TYPE I HOOD - — = $50 - s
TYPE II HOOD - = $10 - s
jlt HEAT PUMP/AIR CONDITIONER 0-5 TONS = $12 _ s
:on AIR CONDITIONER 6-15 TONS = $20 - s
Ii.`'1.. AIR CONDITIONER 16-30 TONS = $25 - s
AIR CONDITIONER 31-50TONS = $35 - s
AIR CONDITIONER +50 TONS = $60 - s
i>LPG STORAGE TANK - = $10 - s
an WOOD OR PELLET STOVE/INSERT - = $25 - s
Subtotal4/
NOTE: MINIMUM PERMIT FEE IS$35.00 PLUS: PROCESSING FEE $25.00
. ,i2.4.4.04...)))I: TOTAL PERMIT FEE DUE $ '/9.6 0
SIGNATURE:
SPOKANE COUNTY DIVISION OF BUILDINGS
WEST 1026 BROADWAY AVENUE•SPOKANE,WA 99260• (509)456-3675
a a.ur\mediasm.hnd
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