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1995, 10-27 Permit App 95008943 Furnace(PROJECFADDRESS: F / 7 ) &i MECHANICAL PERMIT APPLICATION Oi C _ e9 cA 3 r OWNER � -A MAILING ADDRESS: (street) CONTRACTOR: AI , MAILING ADDRESS: '� 1 0 (street) !PHONE: ? 4 - / 1}/!)/ 6 J A 9 / 6 (city/st/atc) (zip) LICENSE: icyr7 i 6 k PHONE: 5 j ` �,� 9 7 .5 (city/statc) DESCRIPTION OF WORK 802 FUEL BURNING APPLIANCE B03 BO4 B05 FUEL BURNING APPLIANCE UNLISTED APPLIANCE (ADDITIONAL CHARGE) UNLISTED APPLIANCE (ADDITIONAL CHARGE) USED APPLIANCE (Mutt sons ti WSECs AFUE rating) USED APPLIANCE (Must meet WSECs min. AFUE rating) BOB BOILER/REFRIGERATION B06 B07 809 BOILER/REFRIGERATION B10 BOILER/REFRIGERATION B11 BOILER/REFRIGERATION B12 BOILER/REFRIGERATION B13 GAS LOG. GAS INSERT. AND/OR GAS FIREPLACE BI4 RANGE or <100.000 >100.000 - or <400.000 >400.000 or <400.000 >400.000 1-100M BTU 101-500M BTU 501-1.000M BTU 1.001-1.750M BTU +1.750M BTU OF UNITS 1 wt.n- ROAD MY COsr (zip) /UNIT $12 S15 $50 S100 $50 rQLnu AMOUNT S100 - B15 DRYER B16 FUEL BURNING WATER HEATER B17 MISCELLANEOUS FUEL BURNING APPLIANCE B18 GAS PIPING (ca. outlet) B19 DUCT SYSTEMS B20 VENTILATING FANS B21 AIR HANDLER (DOES NOT include duct systems) 1322 AIR HANDLER (DOES NOT include duct systems) B23 EVAPORATIVE COOLERS 824 TYPE I HOOD tt 1325 B26 B27 B28 E29 EGO I3i1 812!WOOD OR PELLET STOVE/INSERT NOTE MINIMUM PERMIT FEE IS S3S.00 RIPE II HOOD HEAT PUMP/AIR CONDITIONER AIR CONDITIONER AIR CONDmONER AIR CONDITIONER AIR CONDITIONER LPG STORAGE TANK l SIGNATURE: Q, or <10.000 CFM >10.000 CFM 0-5 TONS 6-15TONS 16 —30 TONS 31-50 TONS +50 TONS Spokane County Division of Buildings 1026 W. Broadway • Spokane. WA 99260 Tel. No. (509) 456-3675 • Fax No. (509) 456-4703 • TDD No. (509) 324-3166 misselosaprosiad S12 S20 - $25 $35 510 $10 $10 S10 $10 S1 S10 $10 • • $12 . $1.5 . $10 $50 - S10 - , $12 $20 S25 $35 S10 • • $25 Subtotal PLUS: PROCESSING FEE TOTAL PERMIT FEE DUE $25.00 sj9. can PLEASE MAKE CI IECKS PAYABLE TO: SPOKANE COUNTY PERMIT CENTER