1993, 09-27 Permit App: 93008920 Mechanical Fixtures i5 2,1 •5 i /S/03 MECI-IANIC.AL PERMIT APPLICATION ( '3 �ga)
PROJECC ADDRESS: / d 0 l / 6 ',/ ,---64...., Sn 9 9c20/6
OWNER: " / (p I 9,:,7 7._.q 7/57
MAILING ADDRESS: _ ✓_ i
(street) (city/state) (zip)
CONTT(ACJ'OR: 43 /) VL`p Lj S k- -v L- t' t\ L. .v�,.. LICENSE: ca
, }IZj U IA A 1 1 (I f?Z_
PHONE: Cl. ')_Z • S''t+ c 0
MAILING ADDRESS: \ � ( /\ r 1 'j l tC, 00 c' 1/ /t} X
(street) (city/state) (zip)
_1--
Di. w�.�t= COST. �
SCRIP _IUN OF WORK OF UN1'I'S nteot+r /U, L1 eounu AMOUNT
1302 FUEL BURNING APPLIANCE =or<100,000 / $12 - • /a . Qo
1303 FUEL BURNING APPLIANCE >too,000 . $15 - r
1304: UNLISTED FUEL BURNING APPLIANCE =or<400.000 $50 - r
1305. UNLISTED FUEL BURNING APPLIANCE >400,000 ,
$100 - r
t/00 I USED APPLIANCE(Must meet WSEC's min.AFUE rating) =or<400,000 . $50 - r
1301 USED APPLIANCE(Must meet WSEC's min.AFUE rating) >400,000 $100 - r
BAR BOILER/REFRIGERATION 1-10OM BIM $12 - r
BO: BOILER/REFRIGERATION 101-500M BTU $20 - r
13.10 BOILER/REFRIGERATION 501-1,000M BIM . $25 - r
1311: BOILER/REFRIGERATION toot-1,750M BM $35 __r
1312. BOILER/REFRIGERATION +1,750M gru . $60 - r
1313: GAS LOG,GAS INSERT,AND/OR GAS FIREPLACE - * $10 - r
814, RANGE - • $10 - r
1315; DRYER - . $10 _ r
I31G. FUEL BURNING WATER HEATER - -I . $10 - r I D - 0 C
1117: MISCELLANEOUS FUEL BURNING APPLIANCE - $10 - r
1318. GAS PIPING(ea.outlet) - . $1 - r d . 0 0
1319. Duct'SYSTEMS - $10 -
1320 VENTILATING FANS - , $10 - r
1321:AIR HANDLER(DOES NOT include duct systems) =or<10.000cPM $12 - r
1322 AIR HANDLER(DOES NOT include duct systems) >to,000 CFM . $15 - r
1323 EVAPORATIVE COOLERS - . $10 - r
1324.TYPE I HOOD — . $50 -
1325 TYPE II HOOD - , $10 - r
1126 VHEAT PUMP/AIR CONDFI'IONER 0-5 TONS , $12 - r
132T AIR CONDITIONER 6-15 TONS , $20 - r
1328. AIR CONDITIONER 16-30 TONS . $25 - r
1329. AIR CONDITIONER 31-50 TONS . $35 - r
1330 AIR CONDITIONER +50 TONS $G0 - r
1311. LPG STORAGE TANK - . $10 - r
1332 WOOD OR I'ELLET STOVE/INSERT - $25 -
Subtotal _ ,0c)
NOTE: MINIMUMfERMI BE IS$35.00 PLUS: PROCESSING FEE $25.VD
�;' f ; TOTAL PERMIT FEE DUE $ 9.c<
SIGNATURE. _ _�' _ "
SPOKANE COUNTY DIVISION OF BUILDINGS
WEST 1026 BROADWAY AVENUE •SPOKANE, WA 99260 • (509)456-3675
miter mediperm.hnd
• F—DETACH TO DISPLAY CEH I iFICATE—3
[ ; DEPARTMENT OF LABOR AND INDUSTRIES
THIS CERTIFIES THAT THE PERSON NAMED HEREON IS REGISTERED AS PROVIDED BY LAW AS A '
CONST 'CONT 'STEW. RAL • 1
hEGISTRATION NUMBER' ,,..EXPIRATION DATE .
CCO1 :8ART'OHA11081 1Z/28/03 ,'
EFFF.CTU
IVE ATF 01/09/.89
JSTATE OF WASHINGTON
BARTON5 HEATING g A/C -INe
11816 F MAt4SF1F•LD 3
( SPOKANE WA 99206475?
-- — _ F625-052-00013-921
.vvesL DETACH TO DISPLAY CERTIFICATE__
STATE OF WA•f 1 GTON
COUNTY OF ,,...40A, f� 01
I certify that this is a true and correct copy of a document in the
possession of Bartons Heating & AC as of this date.
Dat-• ! �r ..`�i.�1\�!. .....
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