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1995, 12-18 Permit App 95004634 Mechanical Fixturesq(2-3c( MECIIANICJ'L Pe-ItM1'C APPLICATION I'ROJ'ter ADDRESS: /051 S • /p....h " OWNER: MAILING ADDRESS: /05 iE3 6. (street CONTRACTOR:` MAILING ADDItI?SS: (slrc 1 1 0.NLQI_ WORIL_ _----_- _ 1102 FUEL BURNING APPLIANCE _-- 1103 FUEL BURNING APPLIANCE: 1104 UNLISTED FUEL BURNING APPLIANCE._ 1305 UNLISTED FUEL BURNING APPLIANCE�_ 1106. _USED APPLIANCP. (Must meet WSEC's ntin. AFIJI? rating) 1107 USED APPI.IANQ. Must meet WSP.C's min. AFUE rating) 1308 BOIIJ!R/RE1 RIGL•RAl'ION-----..-------__-_-- 1109 BOILER/REFRIGERATION 1110 13OILER/RL1 RIGI RA ION B11 BOILER/REFRIGERATION 1112 BOILER/REFRIGERATION --_- 1113 GAS LOG. GAS 1NS1?lt:t';•AND/OR GAS FIREPLACE 1:. 1314 RANGE t1LDRYER B16 FUEL BURNING WATER I lEA'1_ER B17. MISCELLANEOUS FUEL BURNING APPLIANCE: B18 GAS PIPING (ea. outlet) B19 DUCT SYSTEMS--- B20 VENTILATING FANS--_------ 1321 AIR I IANDLER (DOTS NOT include duct systcros)_ B22 MR IIANDLER (DOES NOT include duct systems) 1123 EVAPORATIVE COOLERS 1324 "TYPE! 1100D 1125 TYPE II 1IOOD B26 HEAT PUMP/AIR CONDITIONER B27 AIR CONDrI'IONER B28 AIR CONDrI'1ONLR B29 MR CON DrrloNEIt B30 AIR CONDITIONER 1131 LPG STORAGI'sTANK 1132WOODORI I_LETSTOVE?pNSI:R_l_- . NOTE: MINIMUM PERMIT FEE IS $35.00 . or < 100,000 P110N11: (city/state) LICI?NSI! Tin`��n PHONE: -8 -4r�7� 44 (city/state) (zip) 1 •IIrua-n- �MQl1N'L O1'S!NITS-I usaa: lwIr _ mum., -- $12 a) gam > 100,000 m or <400,000 >400.000 •s or <400,000 > 400.000 1-LOOM 111'U to -MOM M I11-U 50I - 1,000M I1ru I.0O1-1,7_WM Irru +1.7SOM KI_U • _.0 for < 10.Ot10 C1'M > 10,000 CI+M 0-3.1•ONS 6- IS IONS 16- 30TONS 31-SO ToNs 1 mums -- ----- 525 1. Subtotal PLUS: PROCESSING EMI '1'()1'A!. PERMIT 111?tM DU11 i S1S S50 Tux) (zip) T50 S100 112 S20 --•---•. S25 S60 •� slu S 10 S10 _�T10 S10 _ S 1 S10 T10 S12 S1S S10 S10 -----T12 S20 S25 $35 S60 . r • 7 -_IQ .�QQ maair.Noletbivion hn.I SPOKANE COUNTY DIVISION OE BUILDINGS WI'ST 1112(1 13ROADWAY AVENUE? • SPOKANE.. WA 99260 • (509) 456-367S