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
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