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1994, 12-22 Permit App: 94012402 Insert, Piping MECHANICAL PERMIT APPLICATION qz1 -/ ,q0 , _.__ 'RO1iiC1'ADDRESS: Id( ) I 1 E 15i- 1 eIicc NUb I IWNI:K: 'PHONE: (/;12/3'62/88 (AILING ADDRESS: (street) (city/state) (zip) XONTRACI'OR: BiA- O 1QI -riP_EPtAce $kiOPPC 1N C LICENSE: SF)12TO4-SQCo j(1/4A5 / PI IONE: Qac)- (AILING ADDRESS: C. i)`1 D/ m0M T&omef2-LI Pol=til M E 4c)/1 992O(' (street) (city/state) (zip) # w:.n- COST DESCRIPTION OF WORK OF 114TTS..ruan.Y /UNIT aQvz AMOUNT 102 FUEL BURNING APPLIANCE =or<too.000 . S12 - : taa FUEL BURNING APPLIANCE >100.00o . S15 - , 104 UNLISTED FUEL BURNING APPLIANCE =or<400.000 . S50 - : 105 UNLISTED FUEL BURNING APPLIANCE >400.000 $100 - : 106 USED APPLIANCE(Must meet WSECs min.AFUE rating) =or<400.000 . $50 - : 107 USED APPLIANCE(Must meet WSECs min.AFUE rating) >400.000 $100 - _ 108 BOILER/REFRIGERATION 1-toots BTU . $12 - , 109 BOILER/REFRIGERATION tot-500M BTU . $20 - , 110 BOILER/REFRIGERATION 50t-1.000M BTU . S25 - , 111 BOILER/REFRIGERATION 1.001-1.7506A BTU . $35 - , 112 BOILER/REFRIGERATION +1.7s0M BTU $60 - : 113 GAS LOG,GAS INSERT,AND/OR GAS FIREPLACE - 1 . $10 - : 10,00 114 RANGE - . $10 - : 115 DRYER - . $10 - , 116 FUEL BURNING WATER HEATER - $10 - : 117 MISCELLANEOUS FUEL BURNING APPLIANCE - . $10 - : •18 GAS PIPING(ea.outlet) - 1 . S1 - , 1 .0 Q :19 DUCT SYSTEMS - . $10 - : 20 VENTILATING FANS - _ . $10 - : 21 AIR HANDLER(DOES NOT include duct systems) =or<10.000 CFM . $12 - : 22 AIR HANDLER(DOES NOT include duct systems) >10.000 CFM S15 - : 23 EVAPORATIVE COOLERS - . _ $10 - : 24 TYPE I HOOD - $50 - : .25 TYPE II HOOD - . $10 - : 26 HEAT PUMP/AIR CONDITIONER 0-5 TONS . S12 - , 27 AIR CONDITIONER 6-15 TONS . $20 - , 28 AIR CONDITIONER 16-30 TONS . $25 - , 29.AIR CONDITIONER 3t-50 TONS . $35 - : 30 AIR CONDITIONER +50 TONS S60 - : 31 LPG STORAGE TANK - $10 - , 32 WOOD OR PELLET STOVE/INSERT - S25 - , NOTE:MINIMUM PERMIT FEE IS$3100 Subtotal I ( .00 PLUS: PROCESSING FEE $25.00 SIGNATURE: TOTAL PERMIT FEE DUE S ao,Q() PLEASE MAKE CHECKS PALEYABTO < r s kanc County Division of Buildings :SPOKANE COUNTY PERMIT',.i.� RUO ;t : 26 W.Broadway•Spokane,WA 99260 I!.No. (509)456-3675 •Fax No.(509)456-7403 •TDD No.(509)324-3166 wu.to rlme ch pe r m.h nd