2004, 01-15 Permit App: BLD-04-03412 Gas Log, Piping FALCO GARDEN CENTER 15099289029 01/14/04 11:23am P. 001
APR 06 2003 11:50 FR TO 92E9029 P.02'02
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MECHANICAL PERMIT APPLICATION
PROJECT (� Q `f 11 �y PERMIT a j
ADDRESS: %3 ! (4, cc,
C.:I USE- t t,:� ji1 E�.�I�r .Cti `•1 , . f/'1
OWNER' - 'PHONE(Daytime Dontecl); z
MAILING ADDRESS: cJI.C.l`YL.Q r / 47'1 GQ...Co-ec_ f c i 0.'7
(street) (c yIstate) - _ •(z+P1
coNTRAGCR: • ./ LICENSE 117
. .7-7-0.(?C?0 _ Ci.4 4!(. :i r-ii. N)G- / 7,3 0 C•.4. _
MAILING ADDRESS: 'PHONE 3:
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l y�'(- ���ilC'C tL ;���Jt) .G�rLE_ &4 i 64 ,
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(sets city/stata1 zip)
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OESCRIPP1ON OF WORK s or+mars K COST EOHIMS ` AMOUNT
I FUEL BURNING APPLIANCE -OR-000,000 X $15 -
2 FUEL BURNING APPLIANCE ' >100,000 • X $19 .
3 UNLISTED APPLIANCE(ADDITIONAL FEE) •UR400,000 X $50
4 UNLISTED APPLIANCE(ADDITIONAL FEE) x400.000 X MO 4.
5 USED APPILANCE(WSEC n*.AFUE riming) •OR400,000 X $50 -
8 USED APPLIANCE(WSEC Mln.AFUE riling) 2400,000 X 4100
7 BOILER/REFRIGERATION 1-10OM BTU X 315 =
B BOILER/REFRIGERATION 101-500M BTU X S28 _ •
9 BOILERIREFRIGERATION 501-1,000M BTU X 439 - A
10 BOILER1REFRIGERATION 1001-1,750M BTU X $57 =
11 BOXER/REFRIGERATION *1750M BTU X $95 • —
12 GAS LOGS GAS INSERT,GAS FIREPLACE - 1 • f X 310 /v.OD13 RANGE - X Si0 r •
14 DRYER - iX $10
15 FUEL BURNING WATER HEATER - X $10 =
1B MISCELLANEOUS FUEL BURNING APPL - X $10 /
• 17 GAS PIPING(ea.Outlet) - f X $1e. _ /,0) _
18 DUCT SYSTEMS - X $10 =
19 VENTILATING FANS X $10
20 -HANDLER(DOES NOT include ducen0) 1 =OR410,000CFM f X $12 =
21 AIR HANDLER(DOES NOT Include duo1*ng) >10,000CFM 1111.X $19 F 4
22 EVAPORATIVE COOLERS - 110 •
23 TYPE 1 HOOD r SSD =
24 TYPE N11000 - X $10- _
25 HEAT PUMP/AIR CONDITIONER 0-3 TON - X $12 z
26 AIR CONDITIONER 315 TON * X $20 ■
27 • R CONDITIONER 1$-30 TON ? X 325' _
28 AIR CONDITIONER 3DSO TON X $35 -
29 AIR CONDITIONER *SOTON X SSC •
^30 LPG STORAGE TANK - ' X 110 • _
31 WOOD OR PELLET STOVEANSERT - X $10
IliWOOD STOVE-FREE STANDING .. X $25 •
1
SUBTOTAL_.
r .- /l C�
0 CASH 0 CHEC E 0 - PLUS PROCESSING
rwrgo uNo vn:nrAXsieM' FEE
$35.00
Or A/ �O I TOTAL PERMIT FEE / ,,
DATE /- / 1 `" 7 mss: tc:�j P° DUE 1('4C
UNI.CA=NUMBER;' 40C; - _
AUTHORIZED SIGMA CURE: L•Q3'.l t-IL' LiF�J{ •(.('4'_-<-
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** TOTRL PRGE.02 **
This document originally contained
confidential credit card information which
was redacted pursuant to RCW 19.255.010
and the original document destroyed
pursuant to 505 DAN GS2014-030.
JAN 11 2004 11:31 15099289029 PAGE.01