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1995, 06-29 Permit App: 95004740 Furnace, Piping
MECHANICAL PERMIT APPLICATION IItii L 1/4e5/7)// PROJECT ADDRESS: Ia L �` ,/ �j F ) iE_,.r / Z( (L,. ) OWNER: .cC,/) )/C?Ce_, -) I (PHONE: L% < ' }�. .' MAILING ADDRESS: h ('' f.-. 02(- /C-// '37(, A /a/i ( f Lj/-) C,221'/ (street) (city/state) �y(zip) gad;CONTRACTOR: tel;m 1#9. -1-- Q/c (� . LICENSE: /L L ReT-0�C15 n PHONE:� /� -,-30`-',/ -- ,39/ 5/ll) MAILING ADDRESS: 110/5 L. 1-13-41 5 /, 2JU / �(,/!7 9 f%Gu (street) (city/state) (zip) Mush- COSI' DESCRIPTION OF WORK OF UNITS FLUID BY /UNIT HOUMA AMOUNT B02 FUEL BURNING APPLIANCE =or<100,000 / _ $12 - s l ,00 1303 FUEL BURNING APPLIANCE >100,000 = $15 - s B04: UNLIS 1 ED APPLIANCE(ADDITIONAL CHARGE) =or<400,000 x $50 - s B05 UNLISIED APPLIANCE(ADDITIONAL CHARGE) >400,000 = $100 - s B06 USED APPLIANCE(Must meet WSEC's min.AFUE rating) =or<400,000 = $50 - s 807'USED APPLIANCE(Must meet WSEC's min.AFUE rating) >400,000 = $100 - s B08 BOILER/REFRIGERATION 1-100MBTU = $12 - s 1309 BOILER/REFRIGERATION 101-500M s'rU = $20 - s B10 BOILER/REFRIGERATION 501-1,000M BTU x $25 - s 1311 BOILER/REFRIGERATION 1,001-1,750M BTU = $35 - s B12 BOILER/REFRIGERATION +1,750M BTU = $60 - s 1313`GAS LOG,GAS INSERT,AND/OR GAS FIREPLACE - _ $10 - s 1314 RANGE - _ $10 - s 1315 DRYER - _ $10 - s 1316'FUEL BURNING WATER HEATER - _ $10 - s 1317 MISCELLANEOUS FUEL BURNING APPLIANCE - _ $10 - s B18 GAS PIPING(ea.outlet) - I _ $1 - s I, (Y) 1.3191 DUCT SYSTEMS - _ $10 - s B20'VENTILATING FANS - _ $10 - s B21 AIR HANDLER(DOES NOT include duct systems) =or<10,000 CFM = $12 - s 1322 AIR HANDLER(DOES NOT include duct systems) >10.00o CFM = $15 - s 1323 EVAPORATIVE COOLERS - _ $10 - s 1324 TYPE I HOOD - _ $50 - s 1325>TYPE II HOOD - _ $10 - s 1326 HEAT PUMP/AIR CONDITIONER 0-5 TONS = $12 - s 1327>AIR CONDITIONER 6-15 TONS = $20 - s B28 AIR CONDITIONER 16-30 TONS = $25 - s 1329 AIR CONDITIONER 31-50 TONS = $35 - s B30 AIR CONDITIONER +50 TONS = $60 - s B31 LPG STORAGE TANK - _ $10 - s 1332 WOOD OR PELLET STOVE/INSERT - _ $25 - s �j NOTE:MINIMUM PERMIT FEE IS$35.00 Subtotal ,1t ,- .('C- PLUS: PROCESSING FEE $25.00 SIGNATURE: (( �,' // /-'2.,Lc.!) LI c. /L.- TOTAL PERMIT FEE DUE $ 5 :cc 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 master\mechperm.hnd