1994, 09-23 Permit App: 94009341 Wood Stove MECHANICAL PERMIT APPLICATION `
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PROJECT ADDRESS: I, lis 6 n
I/(7-0,-, i (r c Z l)
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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
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