1995, 12-28 Permit App 95010615 Gas LogMECHANICAL PERMIT APPLICATION
1 PROJECT ADDRESS:
c: 7v cOl c Zert
OWNER:
MAILING ADDRESS:
CONTRACTOR: (��[� %, S& (U� fh0lc)
MAILING ADDRESS: - q 3 /0
street)
/"t. 'PHONE: DAYTIME CONTACT / /) 7
(street) / /(city/state) (zip
LICENSE: ?Ca C O G7 C / 7 )0&
PHONE: 6 .2-6o
icri
(city/state) (zip
DESCRIPTION OF WORK
#
OF UNITS
NUL71
LBW s
COSI
/UNIT
sqv s� AMOUNT
E02
FUEL BURNING APPLIANCE
= or <100,000
i
$12
-
s
1301
FUEL BURNING APPLIANCE
>100.000
$15
-
:
1464
UNLISTED APPLIANCE (ADDITIONAL CHARG
= or <400.000
$50
-
s
1365
UNLISTED APPLIANCE (ADDITIONAL CHARG
>400.000
=
$100
-
s
10.6\
USED APPLIANCE (Must meet WSEC's min. AFU
= or <400,000
$50
-
:
11.07
USED APPLIANCE (Must meet WSEC's min. AFU
>400,000
5
8100
-
s
leg
BOILER/REFRIGERATION
1-100M BTU
=
$12
-
s
1109
BOILER/REFRIGERATION
101-500M Bra
$20
-
s
tab
BOILER/REFRIGERATION
501-1,000M BTU
=
$25
-
s
tii
BOILER/REFRIGERATION
1,001-1.750M BTU
_
$35
-
s
$)
BOILER/REFRIGERATION
+1.750M BTU
=
$60
-
s
.:gli3
GAS LOG. GAS INSERT, AND/OR GAS FIREPLA
-
(
$10
-
s / c
$
RANGE
-
_
$10
-
s
15
DRYER
-
_
$10
-
I't
FUEL BURNING WATER HEATER
-
$10
-
s
'X
MISCELLANEOUS FUEL BURNING APPLIANCE
-
$10
-
:
$5
GAS PIPING (ea. outlet)
-
/
_
. $1
-
s /
€$9
DUCT SYSTEMS
-
$10
-
s
E.20
VENTILATING FANS
-
_
$10
-
s
B21.
AIR HANDLER (DOES NOT include duct systems)
= or <10.000 CFM
I
$12
-
s
B22
AIR HANDLER (DOES NOT include duct systems)
> 10,00o cFM
$15
-
s
€ li3
EVAPORATIVE COOLERS
-
$10
-
s
$24
TYPE I HOOD
-
_
$50
-
s
B25
TYPE II HOOD
-
_
$10
-
s
HEAT PUMP/AIR CONDITIONER
0-5 TONS
Y
$12
-
:
2'I
AIR CONDITIONER
6-15 TONS
i
$20
-
s
B2$\AIR
CONDITIONER
16-30 TONS
5
825
-
s
B29
AIR CONDITIONER
31-50 TONS
5
$35
-
s
)330
AIR CONDITIONER
+50 TONS
5
$60
-
s
B31
LPG STORAGE TANK
-
z
$10
-
:
WOOD OR PELLET STOVE/INSERT
-
$25
-
s
Spokane
1026
NOTE: MINIMU PERMIT FEE IS $35.00
SIGNATURE: '''iii(���"�Y%'/// v
Subtotal
1275.00
PLUS: PROCESSING FEE
TOTAL PERMIT FEE DUE
$
1
County Department of Building& Planning
W. Broadway Spokane. WA 99260
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., /,. Y:l•. ,.j2:.
1 O 'E.'.ENT
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Tel. No. (509) 456-3675 * Fax No. (509) 324-3198 * TDD No. (509) 324-3166
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or act
7/613 soM..ekpmear/