1995, 04-28 Permit App: 95002758 Gas Log, Piping MECHANICAL PERMIT APPLICATION qt' ,� 5 st
PROJECT ADDRESS: 6 /330 6 . //
OWNER: , i„,.4L/i2i / „ 2 1PIIONE: 9 22 -8V-0 y f
MAILING ADDRESS: k ,d 0rT" /�" f e)2 /l<j
(street) r (city/state) (zip) I
CONTRACTOR: Fa:- STOVE SHOP LICENSE:FALCOGCI 73DU
PHONE: 926-8911
MAILING ADDRESS: E. 93 i 0 SPRAGUE SPOKANF WA 99206
(street) (city/state) (zip)
# L11— COST
DESCRIPTION OF WORK OF UNITS ,it=sY _/UNIT ■«„u, AMOUNT
11302 FUEL BURNING APPLIANCE =or<100.000 , S12 - s
130C3 FUEL BURNING APPLIANCE >100.00o S15 - s
1B04 UNLISTED APPLIANCE(ADDITIONAL CHARGE) =or<400.000 , S50 - s
BOS IUNT ISTRI)APPT..TANCE(oDDflInI•.T.1L' I,".RGE) I >4000W , 5100 - s
S50 - s ,r
B06 i USED APPLIANCE(Must meet WSECs min.AFUE rating) =or<400.000 i
;1307 USED APPLIANCE(Must meet WSECs min.AFUE rating) >400.000 . S100 . s -
1308 BOILER/REFRIGERATION 1-1ooM an; , S12 - s
I1309 JBOILER/REFRIGERATION 101-500M BTU S20 - s
B10 BOILER/REFRIGERATION 501-1.000M BTU . $25 - s
B11 1BOILER/REFRIGERATION Loot-1.750M BTU . $35 - s
11312 BOILER/REFRIGERATION +1350M BTU . $60 - s
IB13 GAS LOG.GAS INSERT,AND/OR GAS FIREPLACE - ( S10 - s (0
1B14 RANGE - S10 . s
iB15 DRYER - . S10 - s
!B16 FUEL BURNING WATER HEATER - . S10 - s
�
B17 MISCELLANEOUS FUEL BURNING APPLIANCE - $10 - s 1
B18 GAS PIPING(ea.outlet) - / , Si - s
B19 DUCT SYS 1 EMS - , $10 - s
B20 VENTILATING FANS - $10 - s
B21 AIR HANDLER(DOES NOT include duct systems) =or<10.000 CFM . S12 - s
B22 AIR HANDLER(DOES NOT include duct systems) >10.000 CFM $15 s
B23 EVAPORATIVE COOLERS - $10 - s
B24 TYPE I HOOD - S50• - s
B25 TYPE II HOOD - . S10 s
B26 HEAT PUMP/AIR CONDITIONER 0-5 TONS $12 - s
B27 AIR CONDITIONER 6-1S TONS $20 - s
B28 AIR CONDITIONER 16-30 TONS _ $25 . s
B29 AIR CONDITIONER 31-50 TONS x15 - s
1330 AIR CONDITIONER _ +SO TONS $60 - s
B31 LPG STORAGE TANK - $10 - s
11332:WOOD OR PELLET STOVE/INSERT - • S25 . s
NOTE:MINIM U PERMIT FEE $35.00 Subtotal II r
,��,� PLUS: PROCESSING FEE $25.00
SIGNATURE: i',E�,�y,97,,..ta( TOTAL PERMIT FEE DUE S36
PLEASE MAKE CI IECKS PAYABLE TO:
Spokane County Division of Builiings SPOKANE COUNTY PERMIT CENTER
1026 W. Broadway• Spokane,WA 99260
Tcl. No. (509)456-3675 • Fax No. (509)456-4703 •TDD No.(509)324- 66
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