1996, 08-19 Permit App: 96006698 Safety Inspect MECHANICAL PERMIT APPLICATION
PROJECT ADDRESS:
OWNER: 9.,4-...,'..,,, ,-,,... „..2t,_ez..,,, 'PHONE:DAYTIME CONTACT
MAILING ADDItiSS: i 3 6--0.5— (...- /-7
(street) / (city/state) (nP)
CONTRACTOR: LICENSE:
PHONE:
MAILING ADDRESS:
(street) (city/state) (AP)
# MULTI. COST
DESCRIPTION OF WORK OF UNITS LIED 1 /UNIT EQUALS AMOUNT
litit FUEL BURNING APPLIANCE =or <100,000 = $12 - s
Baii FUEL BURNING APPLIANCE >100,00o = $15 = s
tot UNLISTED APPLIANCE(ADDITIONAL CHARGE) = or <400,000 = $50 - s
.B0.& UNLISTED APPLIANCE(ADDITIONAL CHARGE) >400,000 = $100 - s
:................
fl USED APPLIANCE(Must meet WSEC's min. AFUE rating) =or <400,000 = $50 - s
BOW USED APPLIANCE(Must meet WSEC's min. AFUE rating) >400,000 = $100 - s
:..iiIi' BOILER/REFRIGERATION 1-100M 13TU = $12 = s
'lig BOILER/REFRIGERATION 101-500M BTU = $20 - s
BIO.i BOILER/REFRIGERATION 501-1,000M BTU = $25 - s
131** BOILER/REFRIGERATION 1,001-1,750M BTU = $35 - s
BOILER/REFRIGERATION +1,750M BTU = $60 - s
BIT GAS LOG, GAS INSERT, AND/OR GAS FIREPLACE - = $10 - s
SI*RANGE - = $10 = s
Bilii DRYER - . $10 - s
BM FUEL BURNING WATER HEATER - = $10 - s
BIT;MISCELLANEOUS FUEL BURNING APPLIANCE - = $10 - s
Bilk GAS PIPING(ea. outlet) - . $1 - s
"BliW DUCT SYSTEMS - . $10 - s
:1320. VENTILATING FANS - . $10 - s
B21 AIR HANDLER(DOES NOT include duct systems) = or <10,000 CFM = $12 - s
B2I AIR HANDLER(DOES NOT include duct systems) >10,000 CFM = $15 - $
EVAPORATIVE COOLERS - = $10 - s
........:::
1324.i.TI'PE I HOOD - . $50 = s
,B25 TYPE II HOOD - = $10 = s
HEAT PUMP/AIR CONDITIONER 0-3 TONS . $12 - s
AIR CONDITIONER 3-15 TONS = $20 = s
itilk AIR CONDITIONER 15-30 TONS = $25 - s
t " AIR CONDITIONER 30-50 TONS = $35 - s
1130.: AIR CONDITIONER +50 TONS = $60 - s
ll LPG STORAGE TANK - . $10 - s
/OM WOOD OR PELLET STOVE/INSERT - . $25 = s _;,15- -?--
NOTE: MINIMUM PERMIT FEE IS$35.00 Subtotal
PLUS: PROCESSING FEE $25.00
SIGNATURE: TOTAL PERMIT FEE DUE $
Spokane County Division of Building & Planning 1.40Wit COVI•itftitEktiffietliftEleiliiii
1026 W. Broadway*Spokane, WA 99260 :MEg:iii;;;;MREEMMENEEMM 'iM;;Mai
Tel. No. (509) 456-3675*Fax No. (509)324-3198*TDD No. (509)324-3166
Spokane County does not discriminate on the basis of disability in the admission to,or treatment or employment in,its programs or activities.
12/14,95 samorimicipna.Sed