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1996, 09-16 Permit App: 96007608 Water Heater, Piping MECHANICAL PERMIT APPLICATION 01 _ 7(0 0� PROJECT ADDRESS:W'/ 15 : -I y ! OWNER: AkJ e l I PHONDAYTIME CONTACT q,,D.fftrri----_1 MAILING ADDRESS: �- E A 1 '_! °1-I( (street) ci ytstate)" ap) ' CONTRACTOR: ---. / $, (J! .f J2O LICENSE: Ira.C C' ' "7 (' 7 tJ Com. PHONE: C}2 -Yll/ MAILING ADDRESS: t' 31c, *r a. u-e ,',-)-t-..),:. fes'%�=' -fly, � JC G- reet)' (city/state) (tip) • --- # MULTI. COST DESCRIPTION OF WORK OF UNITS LIED a /UNIT wu AMOUNT 8I FUEL BURNING APPLIANCE - or <100,000 = $12 - s 803 FUEL BURNING APPLIANCE >100,000 = $15 - s UNLISTED APPLIANCE(ADDITIONAL CHARG =or <400,000 = $50 - s E,t05 UNLISTED APPLIANCE(ADDITIONAL CHARG >400,000 = $100 - $ BUSED APPLIANCE(Must meet WSEC's min. AFU =or <400,000 = $50 - s `��t USED APPLIANCE(Must meet WSEC's min. AFU >400,000 = $100 - s `:BOB BOILER/REFRIGERATION 1-100M BTU = $12 - s tio9 BOILER/REFRIGERATION 101-500M BTU - _ $20 - s (O‘BOILER/REFRIGERATION 501-1,000M BTU = $25 - s .S11 BOILER/REFRIGERATION 1,001.1,750M BTU = $35 - s $12 BOILER/REFRIGERATION +1,750M BTU = $60 - $ $i)GAS LOG, GAS INSERT, AND/OR GAS FIREPLA - _ $10 - s :8:14 RANGE - _ $10 , - s l8.1S DRYER - _ $10 - s 8't6 FUEL BURNING WATER HEATER - / _ $10 = $ /0.--- .1'. MISCELLANEOUS FUEL BURNING APPLIANCE - _ $10 - s SI$GAS PIPING(ea. outlet) - _ $1 - $ BI:9 DUCT SYSTEMS - _ $10 - s 820 VENTILATING FANS - _ $10 - s B21 AIR HANDLER(DOES NOT include duct systems) =or <10,000 CFM = $12 - s 82V AIR HANDLER(DOES NOT include duct systems) >10,000 CFM = $15 - s 823 EVAPORATIVE COOLERS • _ $10 - s 024 TYPE I HOOD - _ $50 - s 025 TYPE II HOOD - _ $10 - s "626 HEAT PUMP/AIR CONDITIONER 0-5 TONS $12 - s AIR CONDITIONER 6-15 TONS = $20 - $ 2$AIR CONDITIONER 16-30 TONS = $25 - s 829 AIR CONDTTIONER 31-50 TONS = $35 - s 'MO AIR CONDITIONER +50 TONS = $60 - s 831 LPG STORAGE TANK - _ $10 - s 832 WOOD OR PELLET STOVE/INSERT - _ $25 - s NOTE: MINI UM PERMIT FEE IS$35.00 \ SubtotalA. / ,,,/ PLUS: PROCESSING FEE $25.00 SIGNATURE: . () TOTAL PERMIT FEE DUE $ ricg PLEASE MAKE CHE.0 PA's'1iBLE Tot Spokane County Department of Building & Planning SPOKANE COSY PERMIT CENTER 1 1026 W. Broadway • Spokane, WA 99260 ' Tel. No. (509) 456-3675 •Fax No. (509) 324-3198 *TDD No. (509)324- 166 4 Spokane County does not discriminate on the basis of disability in the admission to,or treatment or employment in,its programs or act 7/6/93rolpn.W REFUND LGFS PAYMENT DOCUMENT P V MV103160002 'v# M V 1 C? 1€w,0 2 SPOKANE COUNTY AUDITOR Change Order# )ept 030 CO:: EN1=.1RCE Bid ID 'ENDOR: SHIP TO: ----------- BILL TO: Blanket# SCHMIDT. TONY A \ ('\ RC# 13218 E 9TH AVE ' SPOKANE WA 99216 :) 'e VI# iVendor Contact/Tel Confirming Order 1 FOB: PO DATE: BLDG/ROOM: BUYER ACCTG.PERIOD: 10/96 DELIVERY DATE: WAREHOUSE: COMMENTS: ENTERED BY: PATRICIA E I C K S T A D T PURCHASING DIRECTOR DONALD L• L A B R E C Q U E 4 COMM LN# DESCRIPTION COMMODITY NO REF ACCT LINE QUANTITY UNIT UNIT PRICE TOTAL PRICE ,.?' t::., .14.:i.)., 8C , CANCELLED, PRJt:96-67t' n 28.80 SITE: 13218 E 9TH AVE SPOKANE WA 99216 PAGE TOTAL: ,; 28.80 ,. DISCOUNT TOTAL: . 0.00 FREIGHT TOTAL: 0.00 SALES TAX TOTAL: 0.00 PURCHASE ORDER VALUE : 28.80 ` ' USE TAX TOTAL : 0.00 3GRAND TOTAL: 28.80' ' • LINE NO. FUND AGCY ORG SB ORG ACT OBI SB OBI REV SRC SB REV RPT CAT BS ACCT JOB NO. PAY THIS AMOUNT P/F 01 406 C3C 0008 2210 07 28.8041 -" : TOTAL TO VENDOR: 28.8Q ,; a I CERTIFICATION • 4 i ENT CERTIFICATION TRAVEL CERTIFICATION faterials n.t_�n quan'ty!hate been � 1,the uncle .,,..�do hereb certify under penalty of perjury that sufficient funds have been budgeted for this claim,the I hereby certify under penalty of perjury that this' caved in:,.;Cgndi on or contractee.fe ,terials have ed,services rendered or labor performed as described herein or contracted for,that the claim Is is a true and correct claim for necessary expenses i / as . _ ,•.ligatlon against Spokane County or fund agency Indicated above,that I em authorized to authenticate incurred by me and that no payment has been received EG :Is a ...Airier A EN and ce . rt by me on account thereof. C T T CH III SIG �. ��ii� OFFICE ADMINISTRATOR SIGNED __ TITLE TITLE 11 `r 'S ATE 11/04/96 DATE 11/14/'6 DATE PAGE -