1994, 03-11 Permit App 94001952 Wtr Htr MECHANICAL PERMIT APPLICATION 4
PROJECT ADDRESS: -7 7 a c C/t'-//Gr �� 0-30 .9
OWNER: y U . U w'/-�'S (PHONE:
MAILING ADDRESS: f `) Z,G; Gc ce S�, - W 79 21 Z
_� (sX. /
reet) / (city/state) (zip)
CONTRACTOR: S&X-4 N e' / / /�/t rat c 4,74 y-S LICENSE: S Pe 4/ i F 0 7.7 lR L
PHONE: ys/f; - c1 c S ?—
MAILING ADDRESS: /C 2 Z cc S S O A, e 6C-24 Sf 2-Z.
(street) (city/state) (zip)
# MULTI- COST
DESCRIPTION OF WORK OF UNITS PLIED BY /UNIT notuss AMOUNT
B02 FUEL BURNING APPLIANCE =or<100,000 s $12 - s
1303 FUEL BURNING APPLIANCE >100,000 . $15 - s
1304?UNLISTED FUEL BURNING APPLIANCE =or<400,000 = $50 - s
B05 UNLISTED FUEL BURNING APPLIANCE >400,000 . $100 - s
1306!USED APPLIANCE(Must meet WSEC's min.AFUE rating) =or<400,000 . $50 - s
B07'USED APPLIANCE(Must meet WSEC's min.AFUE rating) >400,000 . $100 - s
1308'BOILER/REFRIGERATION 1-1ooM BTU $12 - s
B09!BOILER/REFRIGERATION 101-500M BTU = $20 - s
B10 BOILER/REFRIGERATION 501-1,000M BTU . $25 - s
B11 BOILER/REFRIGERATION 1,001-1,750MBTU . $35 - s
B12 BOILER/REFRIGERATION _ +1,750M BTU . $60 - s
B13 GAS LOG,GAS INSERT,AND/OR GAS FIREPLACE - . $10 - s
B14 RANGE - s $10 - s
B15;DRYER - - . $10 - s
B16 FUEL BURNING WATER HEATER - / . $10 - $ /C
B17 MISCELLANEOUS FUEL BURNING APPLIANCE - . $10 - s
B18i GAS PIPING(ea.outlet) - . $1 - s
B19 DUCT SYSTEMS _ - = $10 - s
B20 VENTILATING FANS - _ $10 - s
B21 AIR HANDLER(DOES NOT include duct systems) =or<10,000 CFM s $12 - s
B22 AIR HANDLER(DOES NOT include duct systems) >10,000 CFM s $15 - s
B23 EVAPORATIVE COOLERS - . $10 - s
B24<TYPE IHOOD - . $50 - s
B25;TYPE II HOOD - . $10 - s
B26 HEAT PUMP/AIR CONDITIONER 0-5 TONS . $12 - s
B27!AIR CONDITIONER 6-15 TONS . $20 - s
328 AIR CONDITIONER 16-30 TONS . $25 - s
B29 AIR CONDITIONER 31-50TONS . $35 - s
B30 AIR CONDITIONER +50 TONS s $60 - s
B31 LPG STORAGE TANK - . $10 - s
B32<WOOD OR PELLET STOVE/INSERT - . $25 - s
Subtotal /6
NOTE: MIMMUMPERMIT FEE IS$35.00 PLUS: PROCESSING FEE $25.00
/�/�
TOTAL PERMIT FEE DUE $ S
SIGNATURE: i ��� �n�'.y`-% Z�,..� _
SPOKANE COUNTY DIVISION OF BUILDINGS
WEST 1026 BROADWAY AVENUE *SPOKANE,WA 99260 ` (509)456-3675
master\mechperm.hnd