1995, 12-11 Permit App: 95010257 Mechanical Fixtures 9 s - /O D-�7 MECHANICAL PERMIT APPLICATION
PROJECT ADDRESS:
OWNER: 72-,,,7 D/,Z,zzG „s-r PHONE DAYTIME CONTACT • S 35'8?
MAILING ADDRE�S: ' <-7e57 /5 /' a, --, li/rc, 9g—2 Z--_
s (street) / (city/state) (zip)
CONTRACTOR: _ ----,-Le--a9/ � (2--4-4-'6"6-- LICENSE: G )-'�S/= o d/ P2 U
PHONE: re, '7 0 3 P Z
MAILING ADDRESS:/./'/6-T7 '/ `���I, � i' - -( /././,x, , 9 e>e -2-/
(Steed)t) (city/state) (zip)
# MULTI- COST
DESCRIPTION OF WORK OF UNITS LIED. /UNIT EQUALS AMOUNT
B:02 FUEL BURNING APPLIANCE = or <100,000 = $12 = s
803 FUEL BURNING APPLIANCE >100,000 x $15 = $
B04 UNLISTED APPLIANCE(ADDITIONAL CHARG = or <400,000 = $50 = s
:BBS UNLISTED APPLIANCE(ADDITIONAL CHARG >4m00) = $100 = s
1366 USED APPLIANCE(Must meet WSEC's min. AFU = or <400,000 = $50 = s
4367 USED APPLIANCE (Must meet WSEC's min. AFU >400,000 = $100 = s
am BOILER/REFRIGERATION 1-100M BTU = $12 = s
B.69 BOILER/REFRIGERATION 101-500M BTU = $20 = s
B10 BOILER/REFRIGERATION 501-1,000M BTU = $25 = $
;Bit BOILER/REFRIGERATION 1,001-1,750M BTU = $35 = s
8:12 BOILER/REFRIGERATION +1,750M BTU = $60 = s
B13 GAS LOG, GAS INSERT, AND/OR GAS FIREPLA - _ $10 = s
€4 RANGE - $10 = s
B15 DRYER - _ $10 = s
316 FUEL BURNING WATER HEATER - _ $10 = s /69
B17 MISCELLANEOUS FUEL BURNING APPLIANCE - _ $10 = $
B18 GAS PIPING (ea. outlet) - _ $1 = s _2___
13E9 DUCT SYSTEMS - _ $10 = s
B20 VENTILATING FANS - _ $10 = s
tlt AIR HANDLER(DOES NOT include duct systems) = or <10,000 CFM = $12 = s
1322 AIR HANDLER(DOES NOT include duct systems) >10,000 CFM = $15 = s
B23 EVAPORATIVE COOLERS - _ $10 = s
B24 TYPE I HOOD - _ $50 = s
B25 TYPE II HOOD - _ $10 = s
B2b HEAT PUMP/AIR CONDITIONER 0-5 TONS = $12 = s
B27 AIR CONDITIONER 6-15 TONS = $20 = s
B28 AIR CONDITIONER 16-30 TONS = $25 - s
B29 AIR CONDITIONER 31-50 TONS = $35 = s
B30 AIR CONDITIONER +50 TONS = $60 - s
B31 LPG STORAGE TANK - . $10 = s
B321WOOD OR PELLET STOVE/INSERT - _ $25 = s
NOTE: MINIMUM PERMIT FEE IS$35.00 Subtotal -
PLUS: PROCESSING FEE $25.00
SIGNATURE: "� )- ,n-:z- TOTAL PERMIT FEE DUE $
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"'PLEASE MAKE C CKS PAYAB E O.;:
Spokane County Department of Building & Planning iiissro.rx4recerivrtiottrCENTEAggi:
1026 W Broadway * Spokane,okana WA 99260
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 act
7/6/95 rgrkawice n.Yd