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2004, 04-15 Permit App: BLD-04-04081 Hood Vent
MECHANICAL PERMIT APPLICATION PROJECT PERMIT ADDRESS: I L{ \(_7 \a-. 1.).. (.fi. ` \e,, AcA ii. A-• )3f) USE: OWNER: ,:-- PHONE (Daytime Contact): 3-eve .,c<<1 n c_ t Qa2;k5 MAILING ADDRESS: 1 tk).(C2) i_ , ;),Zi&d C4-. \ ,- 1 c (g ") . ggfd -J 7 (Street) (City/State) (Zip) CONTRACTOR: r LICENSE:L�l1 ( IJ CiGi. T1 Gf c Pa(�1 ,. y 1JQJ. (,Q3t-. ` 1‘(-.) L1.C- ACI-=NCOl ,GIE MAILING ADDRESS: PHONE: (Street) (City/State) (Zip) #OF MULTI- COST/ AMOUNT DESCRIPTION OF WORK UNITS PLIED BY UNIT EQUALS FUEL BURNING APPLIANCE =OR<100,.000 X $12 = $ FUEL BURNING APPLIANCE >100,000 X $15 = $ UNLISTED APPLIANCE (ADDITIONAL CHARGE) =OR<400,.000 X $50 = $ UNLISTED APPLIANCE (ADDITIONAL CHARGE) >400,000 X $100 = $ USED APPLIANCE(Must meet WSEC's min.AFUE rating) =OR<400,.000 X $50 = $ USED APPLIANCE(Must meet WSEC's min.AFUE rating) >400,000 X $100 = $ BOILER/REFRIGERATION 1-100M BTU X $12 = $ BOILER/REFRIGERATION 101-500M BTU X $20 = $ BOILER/REFRIGERATION 501-1,000M BTU X $25 = $ BOILER/REFRIGERATION 1,001- 1,750M BTU X $35 = $ BOILER/REFRIGERATION +1,750M BTU X $60 = $ GAS LOG,GAS INSERT,AND/OR GAS FIREPLACE - X $10 = $ RANGE - X $10 = $ DRYER - X $10 = $ FUEL BURNING WATER HEATER - X $10 = $ MISCELLANEOUS FUEL BURNING APPLIANCE - X $10 = $ GAS PIPING(ea.Outlet) - X $1 = $ DUCT SYSTEMS () $10 = $ ,Q 61le'ren-..-^cuye.A6t/tY- �7nc� VENTILATING FANS - X $10 = $ AIR HANDLER(DOES NOT include duct systems) =OR<10,000 CFM X $12 = $ AIR HANDLER(DOES NOT include duct systems) >10,000 CFM X $15 = $ EVAPORATIVE COOLERS - X $10 = $ TYPE I HOOD - X $50 = $ TYPE II HOOD - X $10 = $ HEAT PUMP/AIR CONDITIONER 0-3 TONS X $12 = $ AIR CONDITIONER 3-15 TONS X $20 = $ AIR CONDITIONER 15-30 TONS X $25 = $ AIR CONDITIONER 30-50 TONS X $35 = $ AIR CONDITIONER +50 TONS X $60 = $ LPG STORAGE TANK - X $10 = $ WOOD OR PELLET STOVE/INSERT - X $25 = $ METHOD OF PAYMENT SUBTOTAL 0 CASH 0 CHECK 0 VISA 0 MASTERCARD 0 DISCOVER PLUS: PROCESSING FEE $ 25.00 FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT OF A MAJOR CREDIT CARD SUBTOTAL: MINIMUM PERMIT FEE IS$35.00 DATE: EXPIRES: PLUS: 16% REGIONAL PLANNING BANKCARD NUMBER: SURCHARGE AUTHORIZED SIGNATURE: TOTAL PERMIT FEE DUE Spokane County Division of Building&Code Enforcement 1026 West Broadway Avenue*Spokane,WA 99260-0050 Telephone No.(509)477-3675*Fax No. 477-7198*TDD No. (509)477-7133