1995, 08-10 Permit App 95006157 Woodstove MECHANICAL PERMIT APPLICATION QS-"(n/ 7
_cyfECT ADDRESS: /./VJ /0
OWNER: PHONE: 9 (pO o?p?`47
MAILING.ADDRESS: R 0/44.tl aiC 99,12it*_J
(street) (city/state) (ziP)
CONTRACTOR: _ S7 C IT: SHOP LICENSE FALCCGC1 73DU
PHONE: o-)g_oo11
MAILING ADDRESS: E. 931 ^ SPRAGUE C PLY ANF 'rIA 99206
(street) (city/state) (zip)
. S .n,.n- II COST
_ I DESCRIPTION OF WORK I OF UNITS I_ I /UNIT roup.0 AMOUNt
B02 IFUEL BURNLNG APPLIANCE ( .or<100000 ' I . I S121 . I,
803 IFUEL BURNING APPLIANCE I >i00000 I I • I S1.5 . ,
T
B04►UNLISTED APPLIANCE(ADDITIONAL CHARGE) I =or<400.000 I I . S50 - ,
:B05 lLTNT 1.S TFr)A PPi_t'.A NCE(A DDITIONAL CH.'.RGL) i >6UOLw i I I 5100I - Is
—
1306(USED APPLIANCE(Must meet WSECs min.AFUE rating) I = m or<4o0o i ( . I S50 . , t
B07 1USED APPLIANCE(Must meet WSECs min.AFUE rating) I >saomo I . I S100 - ,
:B081BOILER/REFRIGERATION i 1-mom BTU I . I S121 • ,
i B09 IBOILER'REFRIGERATION I tot-Soots 81U I I . I S201 • {r
'B10IBOILER/REFRIGERATION so1-1m0M nJ I I • I S25 -
811 !BOILER/REFRIGERATION Loot-1.750M BTU i I . ! S35.�
m . ,
812 BOILER/REFRIGERATION +1.750MBTU j I . S60 . ,
IB13 GAS LOG.GAS INSERT.AND/OR GAS FIREPLACE I - I I I S10 I.
IB14 RANGE - I I S10 . I.
B15 ,DRYER I - j . ! $101 . I.
B16(FUEL BURNING WATER HEATER - i i . ; SiOI - I.
B17IMISCELLANEOUS FUEL BURNING APPLIANCE I - I I . SIOI . ,
818 IGAS PIPING(ea.outlet) I - I I . I SI . .
'B19IDUCTSYSTEMS I - I . I $101 r
'B20 IVENTILATING FANS I - f T . I S10 . ,
B21 LAIR HANDLER(DOES NOT include duct systems) ; =or<10.000 CFM I ( . I S12 . .
;B22 LAIR HANDLER(DOES NOT include duct systems) j >10.000CFM I ! . I S15 . .
.B23 IEVAPORATTVE COOLERS 1 - ( I . S10I . ,
B24 1TYPE I HOOD - I I . i 150 - •
'B25 'TYPE II HOOD i - I I . I 510� - ,
'B26 IHEAT PUMP/AIR CONDITIONER I o-5TONS I . I S12 . .
B27 IAIR CONDITIONER I '-15TONs I I . 5201 - ..
,B28 LAIR CONDITIONER I 16-30TON5 T ( . i S25 . .
'B29 FAIR CONDITIONER ( 31-50TONS 1' . $35 -
B30;A.{R CONDITIONER I +50TONS I . I S60I ,
B31 iLPG STORAGE TANK I - j I • SI0 - I,
I332 'WOODOR PELLET STOVEINSERT I - I I f - (, ? 5
NOTE: MINIMU PER AiITJEISS35.00 Subtotal 1 . 3—r
, PLUS: PROCESSING FEE I S2S.00
SIGNATli „2' ` (e-ez :TOTAL PERMIT FEE DUE IS S L't i
J . PLEASE MAKE CHECKS PAYABLE TO: I
Spokane County Division of ISuilciogs SPOKANE COUNTY PERMIT CENTER
11)26 W. Broadway ' Spokane. WA 99260 I I
Tcl. No. (509)456-3675 • Fax No. (509) 456-4703 •TD^ No. (509)324— 66
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