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1995, 06-06 Permit App: 95003978 Pellet Stove 35 -1-. 15-I2 v\/eocL L codA P-' - .. 1_c., - 7 Aty JUN 05 0 tD FY1 SPDV NE DEPT 7F BLDG P. 1 1��u�.riril�lt-AL PERMIT APPLICATION — PROJECT ADDRESS: "7`/0 E . I" t �� OWNER:�f��t,,.-rj c t Ci_, �, e yt i'1 t'7 hioNE:nvrratecorarA t MAILING ADDRESS: 6 eC'C) d`%_�Snl C'C ISS C��� 'c o G j S/— (street) (citylstatc) (zip) CONTRACTOR: !LICENSE: PHONE: MAILING ADDRESS: (street) (city/state) (zip) - drmum- COST ____1 ' r • . ! . • — • ,._. N • #.'3f°FUEL BURNING APPLIANCE I =or<100000 11111111.11 . $12 - s o;h FUEL BURNING APPLIANCE 7.100.000 ER - . . }UNLISTED APPLIANCE ADDITIONAL CHARGE it or c400,000 -- , $50 - s 0*UNLISTED APPLIANCE(AIMI IONAL CHARGE >400,o00 $100 - s I.''a USED APPLIANCE Must meet WSECS mitt.AFUE ratin_ a or,e400,000 $50 . , iii*USED APPLIANCE(Must meet WSEC'S min.AFUE rating) 7.400.000 S100 - s ;: BOILER/REFRIGERATION 1-100M BTU $12 . , iiiiik BOILER/REFRIGERATION 101-500M BTU $20 . !„';_,!11 BOILER/REFRIGERATION 6i1-1,00DM BTU , /`.I1` BOILER/REFRIGERATION I_Am-1,750M BTU - I A BOILER/REFRIGERATION ' +1,7SOMgrU . $60 . * GAS LOG,GAS INSERT,AND/OR GAS FIREPLACE - $10 . t RANGE _ - ,,�, $10 s DRYER — - IIIII $10 - , ' FUEL BURNING WATER HEATER IIMIMINEM $10 - $ flk MISCELLANEOUS FUEL.BURNING APPLIANCE , $10 i **GAS PIPINd ee.outlet) an . SI - , < I, DUCT SYSTEMS - $10 . . kit VENTILATING FANS _ - $10 . . r°'AIR HANDLER(DOES NOT include duet systems) =Or 410,04002m $12 - s iii*,:•; HANDLER(DOES NOT include duct Systems) ).10,000cFM . $15 . s Baqi EVAPORATI.B COOLERS - 1111 1 $10 - $ 7.x 7 — -,- TYPE IHOOD - , 11111 S50 . , iiTYPE II HOOD - IIII $10 s #2 >,UEATPUMP/AIR CONDITIONER 0-5TONS . $12 - . AIR CONDITIONER 4-15 TONS $20 tAIR CONDITIONER 1 16-30 TONS 11.1 $25 - s g AIR CONDITIONER 31-50 Toms . $35 . . §AIR CONDITIONER _ *SO TONS . S60 - , i LPG STORAGE TANK _ - MN $10 - s ''}WOOD O' PELLET ST V NSERT - _ 5 .:t. _ NOTE:MINIMUM PERMIT FEE IS$35.00 Subtotal Q J PLUS: PROCESSING FEE $25.00 SIdNATUR �/-r4 -Th) PLUS: PERMIT FEB DUE $ •*--." .U O iS s_� �A } s�s,�'#4k ss 'T ya'Sl h 7,}3� iii$.�f��s. } 1 t 4 PLEASE MA i CHECKS1,�YAB I'O..�`}'� Ipokaae County Division of Buildings SPOx NE COUN PERMIT CENTER.. yr�j ' '; 026 W.Broadway• Spokane.WA 90260 .. ` '.... , :. } el,No.(509)456-3675 • Fax No. (509)324-319g • TDD No.(509)324-3166