1996, 05-02 Permit App: 96003010 Mechanical Fixtures MECHANICAL PERMIT APPLICATION q(,, , /0 °
PROJECT ADDRESS: ( (S F-- .
OWNER: 1.__ci p 0 y /14 c r(e 14 d 1 !PHONE:DAYTIME CONTACT .51C- 6
MAILING ADDRESS: 6167(3- E, i.s— cP67-(0,,Q, ['JO' -5)?/-.L-
(street) (city/state) (zip)
,
CONTRACTOR: `.3 f C /-11-7 ci,d 4/c_ LICENSE: 7S C/71 /444;e0J--;-/n2
PHONE:
MAILING ADDRESS: /Y c((-2_ c C,,, .. e,OA, -.... (..-v62•A_Q cki4- 9'72(4
(street) (city/state) (zip)
MULTI- COST
DESCRIPTION OF WORK OF UNITS Low. /UNIT Kium.81 AMOUNT
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; FUEL BURNING APPLIANCE =or <100,000 = $12 = s
.„......„
BO:'FUEL BURNING APPLIANCE >100,000 = $15 = s
UNLISTED APPLIANCE(ADDITIONAL CHARG =or <go,ocio . $50 - s
„.:.,,.:.:.
UNLISTED APPLIANCE(ADDITIONAL CHARG >400,000 . $100 - $
•:t:USED APPLIANCE(Must meet WSEC's min. AFU =or <400,000 = $50 - s
:y.:::::,•
iii;.USED APPLIANCE(Must meet WSEC's min. AFU >400,000 = $100 - s
SW BOILER/REFRIGERATION 1-100M BTU x $12 = s
.,„.,...,
:t.' BOILER/REFRIGERATION 101-500M BTU = $20 - s
Bit BOILER/REFRIGERATION 501-1,000M BTU = $25 = s
Of BOILER/REFRIGERATION 1,001-1,750M 13TU = $35 - s
..:::.,.
Bt BOILER/REFRIGERATION +1,750M BTU = $60 - s
Bli 'GAS LOG, GAS INSERT, AND/OR GAS FIREPLA - . $10
BiRANGE - . , $10 - s
lit.1 DRYER - . $10 - s
tifi FUEL BURNING WATER HEATER - / . $10 - s 7 0
MISCELLANEOUS FUEL BURNING APPLIANCE - . $10 - s
BI:: GAS PIPING(ea. outlet) - / . $1 = s /
.,.,,......,
81' DUCT SYSTEMS - . $10 - s
:: g VENTILATING FANS - . $10 - s
AIR HANDLER(DOES NOT include duct systems) =or <10,000 CFM = $12 - $
AIR HANDLER(DOES NOT include duct systems) >10,000 CFM = $15 - s
.....:.:,...
EVAPORATIVE COOLERS - 8 $10 - s
ilia TYPE I HOOD - . $50 - s
.„,.,.„.,.,
B ,:-TYPE II HOOD - . $10 - s
B2. HEAT PUMP/AIR CONDITIONER 0-5 TONS
( = $12 = $ /2,
AIR CONDITIONER 6-15 TONS = $20 - s
112: AIR CONDITIONER 16-30 TONS = $25 - s
.:.:.:.:.,:.:.:.
B .4 AIR CONDITIONER 31-50 TONS = $35 = s
II i AIR CONDITIONER +SO TONS = $60 = s
LPG STORAGE TANK - . $10 - s
4 WOOD OR PELLET STOVE/INSERT - . $25 = s
NOTE: MINIMUM PERMIT FEE IS $35.00 Subtotal ? -I
. A cci6_0\j\jp. PLUS: PROCESSING FEE $25.00
ic A
SIGNATURE: - y(1,/ TOTAL PERMff FEE DUE $ ci4P L.X)1
iyuggimogoggcminVAPPgiTQC
Spokane County Department of Building& Planning VSPOIONgii;COUSIXiiPERMrt CENTERE
1026 W. Broadway* Spokane,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
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