1994, 03-17 Permit App 94002146 Mechanical FixturesMECHANICAL PERMIT APPLICATION
'ROJECT ADDRESS:
►WNER:
CAW NO ADDRESS:
(Street)
r1larle: 9.2.S —h ' - ------------.---
(r.ityhate) -- (zip)
1 LlceNSE: 444/2" f_g_Ma_ci_____-----
:UN'iRAGTOR: (N�A/V� 634-� `�J�C.---�-_AI q S da
T (eity/state) — — — (ziP)
WAILING ADDRESS:
UNLISTED FUEL BURNING APPLIANCE
USED APPLIANCE ass meat WSECi min. APUB rade
USED APPLIANCE (Must meet WSECI min. AFUE ratin
BOI �, .. GERATION
BOl[Bg/RBFRIOBRAT1ON
BOILER/REFR1GBRATION
BOI ' ' ' EFRI0ERATION
OAS • i GAS INSERT. AND/OR GAS FIREPLACE
VFNIHATING FANS
AIR HANDLER r • ES NOT include duet tem:
AIR HANDLER , • ES NOT iadude duet terns
TYPE II HOOD
HEAT PUMP AIR CONDITIONER
AIR CONDmONER
AIR CO DmONER
A1R CONDITIONER
AIR CONDITIONER
NOTBr lifiMMUM PERMIT FEE IS $35.00
SIGNATURE:
SPOKANE COUNTY DIVISION OF BUILDINGS
WPST 1026 I3ROADWAY AVENUE' SPOKANE, WA 99260 • (509) 456-3675
•• or <400.900
>400.000
1-100M BTU
101-S00M BTU
$01-1.000M WV
1 A01� 05014 ttru
+1.75014 811.7
S25
$35
560
510
510
$10
$10
51
$10
Subtotal
PLUS: PROCESSING FEE
TOTAL PERMIT FEE DUE
MM
$25.00
•
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