1995, 07-13 Permit App: 95005187 Gas Log, PipingMECHANICAL PERMIT APPLICATION
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PROJECT ADDRESS: I/ A phi L/7
a2-
OWNER: ®® t
-I- 1
-5
MAILING ADDRESS:
(street)
CONTRACTOR: Np-r-r3 ya
p PHONE: 9 O -/ O 7
/4- A QiO /o
(city/Hate) (sip)
LICENSE: n%nAC)re TTA d7G 2 /
PHONE: S .4/—/,/9 7 S
street
Spokane County Division of Buildings
1026 W. Broadway • Spokane, WA 99260
TeL No. (509) 456-3675 • Fu No. (509) 456-4703 • TDD No. (509) 324-3166
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PLEASE MAKE CHECKS PAYABLE TO:
SPOKANE COUNTY PERMIT CENTER
DESCRIPTION OF WORK
4 Inn. I CO51
OF UNITS Ia,up.:f /UNIT
. .
AMOUNT
B02
FUEL BURNING APPLIANCE
. w coupe
-
•512
- 1.__.-
1103
FUEL BURNING APPLIANCE
>I00.000
515
B04
UNLISTED APPLIANCE (ADDTIIONAL CHARGE)
- 0r.0o0.000550
B05
UNLISTED APPLIANCE (ADDMONAL CHARGE)
>too=5100
.or <400000
550
-
- I
805
USED APPLIANCE (Must meet WSECs min. AFUE rating)
B07
USED APPLIANCE (Must meet WSECs min. AFUE rating)
>400,000
>400,0005100
,
BE
BOILER/REFRIGERATION
1 -loom ani
512
. r
B09
BOILER/REFRIGERATION
101 -seem aro
520
- I
810
BOILER/REFRIGERATION
501-1BaoM ETU•
525
B11
BOILER/REFRIGERATION
1B01 -1350m BTU535
- r
812
BOILER/REFRIGERATION
♦1,350M BTL
$60
-•
013
GAS LAG. GAS INSERT. AND/OR GAS FIREPLACE
-
)S10
- s /0, OO
BI4
RANGE
-
510
r
815
DRYER
-
510
. r
816
FUEL BURNING WATER HEATER
-
•
510
- r
017
MISCELLANEOUS FUEL BURNING APPLIANCE
-
510
.
018
GAS PIPING (ea. outlet)
-
)
S1
/
1119
DUCrSYSIEMS
-
510
n O
-
820
VENTILATING FANS
-
510
-
B21
NR HANDLER (DOES NOT include duct systems)
.or<a0.000cfM512
B22
AIR HANDLER (DOES NOT include duct systems)
>10p00cem515
.
B23
EVAPORATIVE COOLERS
-
510
.
B24
TYPE I HOOD
-
550
r
325
TYPE II HOOD
-
510
.
B26
HEAT PUMP/AIR CONDITLONER
o-STONs512
- r
827
AIR CONDMONER
6 -IS TONS
S20
B28
AIR WNDMONER
16-30TONS
.
525
r
• ,
029
AIRCONDITIONER
31-50TONS
535
,
830
N R CONDITIONER
.50 TONS
560
. ,
031
LIG STORAGE TANK
-
510
B32
WOOD OR PELLET STOVE/INSERT
_
525
SIGNATURE:
NOTE: MINIMUM PERMIT FEE IS 535.00
Subtotal
PLUS: PROCESSING FEE $2$.00,
/ I
-�COXn�w /J-
TOTAL PERMIT
$ �L.,(7O
FEE DUB
Spokane County Division of Buildings
1026 W. Broadway • Spokane, WA 99260
TeL No. (509) 456-3675 • Fu No. (509) 456-4703 • TDD No. (509) 324-3166
...rl..r6pvs6tl
PLEASE MAKE CHECKS PAYABLE TO:
SPOKANE COUNTY PERMIT CENTER