1995, 08-03 Permit App: 95005948 Mechanical Fixtures cis--56114? MECHAN1s C.Ai-PERMIT APPLICATION' eL I t3
PROJECT ADDRESS: // DZ/ E 1( ,# cPck ;iVE lx..)9 9226(0
OWNER: 7//' LJ, 47,9M V/Ck t 'P�HOONNEE:D�AArrTLE CONTACT g / 89 n^ '?F? p20
MAILING ADDRESS: /11i�Z- ) 5 /�Q _5 �� � 9 t'C.744 9 zo&
treet) (city/state) (zip)
CONTRACTOR: cp() nj 8:903`71 LICENSE:
PHONE:
MAILING ADDRESS: 6/,/11E._
1///l/moi
(street) (city/state) (zip)
# mum- COST
DESCRIPTION OF WORK OF UNITS ?mon_/UNIT sosnAr.s AMOUNT
1302 FUEL BURNING APPLIANCE =or<100,000 1 . 512 . s 11,1. Q n
1303 FUEL BURNING APPLIANCE >100,000 . $15 - s
1304::'UNLISTED APPLIANCE(ADDITIONAL CHARGE) =or<400,000 s $50 - s
B05 UNLISTED APPLIANCE(ADDITIONAL CHARGE) >403,000 $100 - s
1106 USED APPLIANCE(Must meet WSEC's min.AFUE rating) =or<400,000 . $50 - s
B07 USED APPLIANCE(Must meet WSEC's min.AFUE rating) >400,000 . $100 - s
B08 BOILER/REFRIGERATION 1-1OOM BTU . $12 - $
1309 BOILER/REFRIGERATION 101-500M BTU . S20 - s
BIO i BOILER/REFRIGERATION 501-1,000MBTU . $25 - s
111: BOILER/REFRIGERATION 1,001-1,750M BTU 535 - s
B12 BOILER/REFRIGERATION +1,750M BTU . $60 - s
B13 GAS LOG,GAS INSERT,AND/OR GAS FIREPLACE — . S10 s
B14 RANGE — . S10 - s
B15 DRYER — . $10 - s
B16 FUEL BURNING WATER HEATER — I . S10 - $ I D. 00
Bks;:;MISCELLANEOUS FUEL BURNING APPLIANCE — . S10 - s
B18 GAS PIPING(ea.outlet) — .3 . Si - s ';.O O
1319 DUCT SYSTEMS — S10 - s
B20 VENTILATING FANS — . 510 - s
B21 AIR HANDLER(DOES NOT include duct systems) =or<10,000 CFM . $12 s
B22 AIR HANDLER(DOES NOT include duct systems) >10,000 CFM . $15 - s
1123 EVAPORATIVE COOLERS — . $10 - s
B24 TYPE I HOOD — $50 - s
B25i TYPE II HOOD — . $10 - s
B26 HEAT PUMP/AIR CONDITIONER o-5 TONS . S12 - s
B27 AIR CONDITIONER 6-15 TONS . S20 - s
1328 AIR CONDITIONER 16-30 TONS . 525 - s
B29 AIR CONDITIONER 31-50 TONS . $35 - s
B30>AIR CONDITIONER +50 TONS S60 - s
B31 LPG STORAGE TANK — . 510 - s
B32 WOOD OR PELLET STOVE/INSERT — . $25 - s
NOTE:MINIMUM PERMIT FEE IS$35.00 Subtotal Z 5-,00
PLUS: PROCESSING FEE
TOTAL PERMIT FEBDUE $ $25.00
AO
SIGNATURE: ADelSC>
PLEASE MAKE CHECKS PAYABLE TO:
Spokane County Division of Buildings SPOKANE COUNTY PERMIT CENTER
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 activities.
VWS aW