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2005, 10-31 Permit App: 05004184 Gas Water HeaterOCT 31 2005 15:07 FR sFolea Permit Centel 11707 E Sprague Ave, Suite 106 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 community Development W,,�v cnokane.allcy.or�S2mI Mechanical Permit Application / ctTP Anntt>F.SS• 17 3(',}7 1 . xl%A/ AI/ 1 U 1400 1' (CO'47.J [1 Commercial [Residential 1 ' • Vi' i.1. PERMIT NUMBER '11rne- PERMIT FEE: 1ST _ i )CJ DESCRIPTION OF WORK FUEL BURNING APPLIANCE FUEL BURNING APPLIANCE 1 to or less than 100.000 More than 100 000 Equal to or Tess than 400.000 More than 400,000 ual to or less than 400 000 BOILER/REFRIGERATION BOILER/REFRIGERATION BOILER/REFRIGERATION BOILER/REFRIGERATION BOILER/REFRIGERATION GAS LOG, GAS INSERT, GAS FIREPLACE RANGE DRYER FUEL BURNING WATER HEATER MISC. FUEL BURNING APPLIANCE GAS PIPING each outlet 24 25 26 27 211 29 30 31 32 33 34 More than 400.000 1 512.00 515.00 5100.00 - 100M BTU 101 - 500M BTU 601 • 1,000M BTU 1.001 - 1.750M BTU 512.00 520.00 525.00 535.00 More than 1.750M BTU DUCT SYSTEMS VENTILATING FANS NR HANDLER (DOES NOT include ducting) AIR HANDLER (DOES NOT Include ducting) EVAPORATIVE COOLERS TYPE IHOOD TYPE II HOOD HEAT PUMP /AIR CONDITIONER AIR CONDITIONER AIR CONDITIONER AIR CONDITIONER AIR CONDITIONER LPG STORAGE TANK WOOD OR PELLET STOVEIINSERT WOOD STOVE - FREE STANDING REPAIR & ADDITIONS VENTILATION SYSTEMS Equal to or less than 10,000 CFM Greater than 10,000 CFM 0-3 TON 3.15 TON 15.30 TON 30-50 TON VENTILATION MECHANICAL EXHAUST INCINERATOR - RESIDENCE 37 INCINERATOR - COMMERCIAL METHOO OF PAYMENT: MASH ❑ CHECK O VISA El MC CARD It 510.00 510.00 512.00 515.00 510.00 550.00 510.00 512.00 520.00 525.00 535.00 560.00 $10.00 510.00 525.00 515.00 $1200 DATE: EXPIRES: AUTHORIZED SIGNATURE: 512.00 510.00 X 522.00 SUBTOTAL PROCESSING FEE 536.00 TOTAL PERMIT FEE DUE: 17.00 RHYMED 112a003 Bei lam e +4 e ey U. V 15 owner Name: - P hone: a y - 5.2- Fax: Address: 17 3c-7 e /AIh', A✓ , Ci . „ ,. / - tale: , ; Zi . A. . , Centrietor . • Name: n e. c 11b r C' �t Phone: !fib' U-/ 3 3 Fax: O1 ' 77 /,/ /,O��+�.� 1 //bar ' r Q-` tits: . pi vrd ' J /a�gi' ■ • : i Address: Licauc No. 1(2 7� A 7 -Pc- 95() O. City Hvs+"`sa License No: • i Ceotact • 7 Nemec �0I.tI �' e,/ts Phone: o?C e --77,„1 - 505) �- -� ` JrI1�i _ ..........e 1 v 1 COST ■ 1 TOTAL AMOUNT DESCRIPTION OF WORK FUEL BURNING APPLIANCE FUEL BURNING APPLIANCE 1 to or less than 100.000 More than 100 000 Equal to or Tess than 400.000 More than 400,000 ual to or less than 400 000 BOILER/REFRIGERATION BOILER/REFRIGERATION BOILER/REFRIGERATION BOILER/REFRIGERATION BOILER/REFRIGERATION GAS LOG, GAS INSERT, GAS FIREPLACE RANGE DRYER FUEL BURNING WATER HEATER MISC. FUEL BURNING APPLIANCE GAS PIPING each outlet 24 25 26 27 211 29 30 31 32 33 34 More than 400.000 1 512.00 515.00 5100.00 - 100M BTU 101 - 500M BTU 601 • 1,000M BTU 1.001 - 1.750M BTU 512.00 520.00 525.00 535.00 More than 1.750M BTU DUCT SYSTEMS VENTILATING FANS NR HANDLER (DOES NOT include ducting) AIR HANDLER (DOES NOT Include ducting) EVAPORATIVE COOLERS TYPE IHOOD TYPE II HOOD HEAT PUMP /AIR CONDITIONER AIR CONDITIONER AIR CONDITIONER AIR CONDITIONER AIR CONDITIONER LPG STORAGE TANK WOOD OR PELLET STOVEIINSERT WOOD STOVE - FREE STANDING REPAIR & ADDITIONS VENTILATION SYSTEMS Equal to or less than 10,000 CFM Greater than 10,000 CFM 0-3 TON 3.15 TON 15.30 TON 30-50 TON VENTILATION MECHANICAL EXHAUST INCINERATOR - RESIDENCE 37 INCINERATOR - COMMERCIAL METHOO OF PAYMENT: MASH ❑ CHECK O VISA El MC CARD It 510.00 510.00 512.00 515.00 510.00 550.00 510.00 512.00 520.00 525.00 535.00 560.00 $10.00 510.00 525.00 515.00 $1200 DATE: EXPIRES: AUTHORIZED SIGNATURE: 512.00 510.00 X 522.00 SUBTOTAL PROCESSING FEE 536.00 TOTAL PERMIT FEE DUE: 17.00 RHYMED 112a003