1996, 01-12 Permit App 96000261 Gas Log\\Or03, 00- �- MECHATIICAL PERMIT APPLICATION
()PROJECT ADDRESS: / 5111/1 1
i` LPBONE DAYTIME, CONTACT c - 5/
OWNER:
�ty state ap))
149)
MAILING ADDRESS:
(street)
CONTRACTOR: ��
MAILLNG ADDRESS: 5 1 5-fL
LICENSE: f-7 ( (' L & 77 L .
PHONE: 0'2 3'2//
(city/state) (aP
---,
- #
OF UNITS
Moen
Lam. s
COST
/UNIT
KcArs
AMOUNT
DESCRIPTION OF WORK
FUEL BURNING APPLIANCE
= or <100.000
s
$12
-
s
B0
FUEL BURNING APPLIANCE
>100.000
$15
-
s
U
UNLISTED APPLIANCE (ADDITIONAL CHARG
= or <400.000
a
$50
-
s
`3,.UNLISTED
APPLIANCE (ADDITIONAL CHARG
>400,000
$100
-
s
`$USED
APPLIANCE (Must meet WSEC's min. AFU
= or <400.000
a
550
-
,
BO7
USED APPLIANCE (Must meet WSEC's min. AFU
>400,000
a
5100
-
s
€Sf 8
BOILER/REFRIGERATION
1-100M BTU
=
$12
-
3
B091
BOILER/REFRIGERATION
101-500N I3T1J
=
$20
-
s
€
810
BOILER/REFRIGERATION
501-1.000M ETU
a
525
-
s
B'11
BOILER/REFRIGERATION
1.001-i.750M 37'U
,
$35
-
s
1312
BOILER/REFRIGERATION
+1,750M BTU
a
$60
-
s
t.I3
GAS LOG, GAS INSERT, AND/OR GAS FIREPLA
-
/
s
$10
-
4 70
jii4
RANGE
-
s
S10
-
4
B15DRYER
-
s
$10
-
s
kB16FUEL
BURNING WATER HEATER
-
s
$10
-
s
5 ?'
MISCELLANEOUS FUEL BURNING APPLIANCE
-
s
$10
-
s
-14:1.8
GAS PIPING (ea. outlet)
-
/
s
SI ,
-
s /
1319
DUCT SYSTEMS
-
s
$10
.
B2O
-
s
$10
-
s
VENTILATING FANS
B21
AIR HANDLER (DOES NOT include duct systems)
= or <10.000 CFM
s
$12
-
4
B22
AIR HANDLER (DOES NOT include duct systems)
> to,000 CFM
a
$15
-
4
B23
,
EVAPORATIVE COOLERS
-
s
$10
-
s
`B24
TYPE I HOOD
-
s
$50
.
s
T
TYPE II HOOD
-
s
$10
-
s
'B26
HEAT PUMP/AIR CONDITIONER
0-5 TONS
.
$12
-
s
B2
AIR CONDITIONER
6-15 TONS
s
$20
-
s
B28AIR
CONDITIONER
16-30 TONS
s
$25 ,
-
s
B29
AIR CONDITIONER
31-50 TONS
=
$35
-
s
B30
AIR CONDITIONER
+50 TONS
.
S60
-
s
'B31
LPG STORAGE TANK
-
s
$10
.
s
B32
WOOD OR PELLET STOVE/INSERT
-
s
$25
-
s
Spokane
in -we
NOTE: MINIMU PERMIT FEE $35.00
SIGNATURE:
Subtotal
PLUS: PROCESSING FEE
$ OO
FEE DUE
S
TOTAL PERMIT
County Department of Building & Planning
w n..,..,a.,,.... s CMtl9110 Ws 4Q2/A
: ?.:: ',, :'�.+'• ''+raliNer mot•
p ASE C P2i 1 Y .. .
SPOKA INTY::R ..,...:, N.
iiv i:,.: ;ki: '•:','i'��i' : �i.� i, .,Cin: ,Y: :•yi:�ii:�(�i. i 6: n,1.':{}!:1i?f ^S i 'MJ'.�•f•
;> ....,n ,.,�.:. .:.... ,..._,,.,
1VrV *r. Ira vau .. aa� vt+v.......,.
Tel. No. (509) 456-3675 • Fax No. (509) 324-3198 * TDD No. (509) 324- 166
Spokane County dots not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or ad
s vas ralea .+s.=s.s