1993, 11-09 Permit App: 93010901 Range, Piping MECHANICAL PI RMIT APPLICATION
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PROJECT ADDRESS:
OWNER: )-0- /Y✓(0ov/'X// IPHO/NE: 535---5:5-75—
MAILING ADDRESS: f5 S, / .5-'' /& `;/ *)e.. G!///'¢54 9,,?/ Z
(street) (city/state) (zip)
CONTRACTOR: Q -/e. t/7 ,//17, ///EiC-6 LICENSE: ,0/1/C'13 /�'/l/.?/-'7 Q
nn ��// PHONE: V)C/ 3
MAILING ADDRESS: ? //3, 7 �/ 54,1414-A-) /�7t c • Sjr. l�e45-/- . 79,70C,
(street) d(city/state) (zip)
# MULTI- COST
DESCRIPTION OF WORK OF UNITS_Nin y /UNIT eou,as AMOUNT
1302>FUEL BURNING APPLIANCE =or<100,000 = $12 - s
`Bfb3<FUEL BURNING APPLIANCE >100,000 = $15 - s
iiiii UNLISTED FUEL BURNING APPLIANCE =or<400,000 = $50 - s
:14:::i UNLISTED FUEL BURNING APPLIANCE >400,000 = $100 - s
tikii USED APPLIANCE(Must meet WSEC's min.AFUE rating) =or<400,000 = $50 - s
SOZ USED APPLIANCE(Must meet WSEC's min.AFUE rating) >400,000 = $100 - s
BOILER/REFRIGERATION 1-100M BTU = $12 - s
B09?BOILER/REFRIGERATION 1o1—sooM BTU = $20 - s
Of BOILER/REFRIGERATION 501-1,000M BTU = $25 - s
bit BOILER/REFRIGERATION 1,001-1,750MBTU = $35 - s
Bii BOILER/REFRIGERATION +1,750M BTU = $60 - s
43GAS LOG,GAS INSERT,AND/OR GAS FIREPLACE - s $10 - s
B]4`RANGE - ! = $10 - s
OM DRYER - = $10 - s
ow FUEL BURNING WATER HEATER - x $10 - s
a
pp MISCELLANEOUS FUEL BURNING APPLIANCE - s $10 - s
1118' GAS PIPING(ea.outlet) - �' s $1 - s
M fl:
819:€DUCT SYSTEMS - s $10 - s
,B2:&VENTILATING FANS - = $10 - s
kiii AIR HANDLER(DOES NOT include duct systems) =or<10,000 CFM = $12 - s
te AIR HANDLER(DOES NOT include duct systems) >10,00o CFM = $15 - s
:,iiiii EVAPORATIVE COOLERS — = $10 - s
B24 TYPE I HOOD — = $50 - s
825<'TYPE II HOOD - s $10 - s
166:,'=HEAT PUMP/AIR CONDITIONER o-5 TONS = $12 - s
B.2 AIR CONDITIONER 6-15 TONS = $20 - s
112$I AIR CONDITIONER 16-30 TONS = $25 - s
B29 AIR CONDITIONER 31-50 TONS = $35 - s
Aitii
AIR CONDITIONER +50 TONS = $60 - s
Illt LPG STORAGE TANK - = $10 - s
B:2 WOOD OR PELLET STOVE/INSERT - s $25 - s
Subtotal i ( CO
NOTE: MINIM U M PERMIT FEE IS$35.010 PLUS: PROCESSING FEE $25.00
TOTAL PERMIT FEE DUE $ )/c,a)
SIGNATURE:
SPOKANE COUNTY DIVISION OF BUILDINGS
WEST 1026 BROADWAY AVENUE`SPOKANE,WA 99260` (509)456-3675
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