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1995, 03-15 Permit App: 95001457 AC
` MECHANICAL PERMIT APPLICATION ( _____: PROJECT ADDRESS: 1 / a e a Lc ' -� l t4 5 rJ OWNER: r 0 A., Q,.., z__, ! r`'I e, 'PHONE: 7 4/ - 4 )1 43 MAILING ADDRESS: C a 10 • (street) (city/state) / (zip) CONTRACTOR: A) "_��fl ' /_-r--,Pr.42. LICENSE: 0 re`_ Q /1 A, g / 4 I rd PHONE: `,' iJ - y 9 MAILING ADDRESS: k- 3✓)o ? / ,-/-e-;,t Sp . A,. , t do i �' J (street) (city/state) (zip) # r.nn- COST DESCRIPTION OF WORK OF UNITS FLUID By /UNIT 'MALI AMOUNT B02 FUEL BURNING APPLIANCE =or<100,000 ■ $12 r B03 FUEL BURNING APPLIANCE >moo) . $15 - r B04 UNLISTED APPLIANCE(ADDITIONAL CHARGE) =or<400,000 . $50 - e 1305 UNLISTED APPLIANCE(ADDITIONAL CHARGE) _ >400.000 _ _ $100 - r B06 USED APPLIANCE(Must meet WSECs min.AFUE rating) =or<400.000 . $50 e B07 USED APPLIANCE(Must meet WSECs min.AFUE rating) >400.000 . $100 - r B08 BOILER/REFRIGERATION 1-100M BTU . $12 - r B09 BOILER/REFRIGERATION 101-500M BTU . $20 - r B10 BOIIER/REFRIGERATION 501-1.000M BTU = $25 - r B11 BOILER/REFRIGERATION 1.001-1.750M BTU $35 - $ B12 BOILER/REFRIGERATION +1,750M BTU $60 e B13 GAS LOG,GAS INSERT,AND/OR GAS FIREPLACE - $10 e B14 RANGE - . $10 r B15 DRYER - s $10 - r B16 FUEL BURNING WATER HEATER - . $10 r B17 MISCELLANEOUS FUEL BURNING APPLIANCE - $10 . r B18 GAS PIPING(ea.outlet) - . $1 - e B19 DUCT SYSTEMS - . $10 r B20 VENTILATING FANS - . $10 e B21 AIR HANDLER(DOES NOT include duct systems) =or<10.00o CFM . $12 - $ B22 AIR HANDLER(DOES NOT include duct systems) >10.000 CFM . $15 - r B23 EVAPORATIVE COOLERS - . $10 - e B24 TYPE I HOOD - • $50 - e X25 TYPE II HOOD - . $10 - . 826 HEAT PUMP/AIR CONDITIONER 0-5 TONS / = $12 - r)O,0 0 B27 AIR CONDITIONER 6-15 TONS = $20 e B28 AIR CONDITIONER _ 16-30 TONS = $25 r • B29 AIR CONDITIONER 31-50 TONS = $35 - r B30 AIR CONDITIONER +50 TONS . $60 - , B31 LPG STORAGE TANK - . $10 - $ B32 WOOD OR PELLET STOVE/INSERT - • $25 - t NOTE:MINIMUM PERMIT FEE IS$35.00 Subtotal / , O 0 PLUS: PROCESSING FEE $25.00 SIGNATURE: I� t-,_ A „el---- TOTAL PERMIT FEE DUE $ 3 7 , (3 0) 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)456-4703 •TDD No. (509)324-3166 aluter4nealperm.had