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1994, 09-23 Permit App: 94009341 Wood Stove MECHANICAL PERMIT APPLICATION ` Lt- Co e ( PROJECT ADDRESS: I, lis 6 n I/(7-0,-, i (r c Z l) r�, j ) r1�/ I `�sz � OWNER: ( V�ef/ �l,L m0..�. IPHONE: ��b' 9%'7 a MAILING ADDRESS: 6 } ce OA 9 1., b (street) ..)4 (city/state) (zip)/�v CONTRACTOR:Pt. Let) S l U JeU hUio LICENSE: tj,t( e_b (1- 0._ /7,j p L> PHONE: ` 0 -Qo- 8 MAILING ADDRESS: C ?j/ O S i r4_ , + !t O .%J`I I & q(716 (O (street' ('ity/state) (zip) # wsn- COST DESCRIPTION OF WORK OF UNITS ,LIED BY /UNIT EQUALS AMOUNT 1302 FUEL BURNING APPLIANCE =or<100.000 . $12 . s 1303 FUEL BURNING APPLIANCE >100.000 . $15 - s B04 UNLISI ED APPLIANCE(ADDITIONAL CHARGE) =or<400,000 $50 s 1305 UNLISTED APPLIANCE(ADDITIONAL CHARGE) >400.ouu . $100 - s B06 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 1308 BOILER/REFRIGERATION 1-1ooM BTU . $12 r B09 BOILER/REFRIGERATION 101-500M BTU 1 $20 - s B10 BOILER/REFRIGERATION 501-1.000M BTU x $25 - s 1311 BOILER/REFRIGERATION 1.001-1.750M BTU . $35 - s B12 BOILER/REFRIGERATION +1.750M BTU . $f0 - s B13 GAS LOG,GAS INSERT,AND/OR GAS FIREPLACE — . $10 - s B14 RANGE — . $10 - s B15 DRYER — . $10 . s B16 FUEL BURNING WATER HEATER — . $10 - s B17 MISCELLANEOUS FUEL BURNING APPLIANCE — $10 s 1:18 GAS PIPING(ea.outlet) — s $1 B19 DUCTSYSIEMS — . $10 - s B20 VENTILATING FANS — $10 - B21 AIR HANDLER(DOES NOT include duct systems) =or<10.000 CFM . $12 - s B22 AIR HANDLER(DOES NOT include duct systems) >1o.000cFM . $15 . s B23 EVAPORATIVE COOLERS — . $10 . s B24 TYPE I HOOD — • $50 - 's B25 TYPE II HOOD — . $10 - s B26 HEAT PUMP/AIR CONDITIONER 0-5 TONS . $12 - s B27 AIR CONDITIONER 6-15 TONS . $20 s B28 AIR CONDITIONER 16-30 TONS . $25 - r B29 AIR CONDITIONER 31-50 TONS . $35 - s B30 AIR CONDITIONER +50 TONS . $60 - s B31 LPG STORAGE TANK — . $10 . s B32 WOOD OR PELLET STOVE/INSERT — I . $25 - s 2 NOTE: MINIMUM PERMIT FEE IS$35.00Subtotal � _ A � �� � 1--- j- PLUS: PROCESSING FEE $25.00 SIGNATURE: iN r" ti / TOTAL PERMIT FEE DUE $ 50 l PRASE MAKE CI IECKS 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)456-4703 *TDD No. (509)324-3166 mask:t\mechperm.hnd 1/12 �� yitej � p y !?j