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2004, 07-20 Permit App: BLD-04-07113 AC
T0.8Jtid S0STV8b60S City of Spokane Valley Mechanical Permit Application 6S:2t b00Z z0 inf 0-0/11 Fax* 688 -0037 Project Address: 1314 S Bannen Permit Use: Owner. John Yake Phone (daytime contact): 954 -9204 Malting Address: SAME (stool) (city /state) (zip) Contractor, R&R Heating and AC, Inc. License: RRHEAA1068W Mailing Address: 4019 E Central Phone#: 484 -1405 Spokane, Wa 99217 (street) (city /state) (zip) Description of Work #of units Cost = Amount 1 Fuel burning appliance - or < 100,000 X 15.00 0 0.00 2 Fuel burning appliance > 100,000 X 19.00 = 0.00 3 Unlisted appliance (additional charge) - or < 400,000 X 50.00 = 0.00 4 Unlisted appliance (additional charge) > 400.000 X 100.00 = 0,00 5 Used appliance (WSEC's min. AFUE rating) - or < 100.000 X 580.00 = 0.00 6 Used appliance ( WSEC's min. AFUE rating) > 400,000 X 100.00 21 0.00 7 Boiler/refrigeration 1 -100M BTU X 15.00 = 0.00 8 ,Boller /refrigeration 101.500M BTU X 28.00 = 0.00 9 Boiler /refrigeration 501- 1.000M BTU X 39.00 = 0.00 10 Boiler /refrigeration 1,001- 1,750M BTU X 57.00 = 0.00 11 Boiler /refrigeration + 1,750M BTU X 95.00 = 0.00 12 Gas Iog,gas Insert, as fireplace - X 10.00 = 0.00 13 Range - X 10,00 = 0.00 14 Dryer - X 10.00 z 0,00 15 Fuel burning water heater - X 10.00 = 0.00 16 Miscellaneous fuel burning appliance - X 10.00 2, 0.00 17 Gas piping, (each outlet) - X t.00 0.00 18 Duct systems - X 10.00 = 0.00 19 Ventilating fans - X 10.00 = 0.00 20 Air handler (does not include ducting) - or < 10,000 CFM X 12.00 = 0.00 21 Air handler (does not include ducting) > 10,000 CFM X 19.00 = 0.00 22 Evaporative coolers - x 10.00 = 0.00 23 Type 1 hood - X 50.00 = 0.00 24 Type 11 hood - X 10.00 a 0.00 25 Heat pump/alr conditioner 0 -3 tons 1 X 12.00 = 12.00 28 Alr conditioner 3-15 tons X 20.00 = 0.00 27 Alr conditioner 15.30 tons X 25.00 = 0.00 28 Alr conditioner 30 -50 tons X 35.00 = 0.00 29 Air conditioner + 50 tons X 80.00 = 0.00 30 LPG storage tank - X 10.00 = 0.00 31 Wood or pellet stove/insert - X 10.00 = 0.00 32 Wood stove - free standing - X 25.00 = 0.00 ❑ Cash ❑ Check ❑ Visa ❑ MasterCard Faxed permits will only be accepted with payment of a major credit card Date: Expires. Subtotal 12.00 Plus Processing Fee 35.00 Total Permit Fee Due 47.00 8ankcard Number. Authorized Signature: TGt /TLl 7Pt-} i 9NIlb8H &l S9STb®b60S Lb:EI b00Z /Z0 /L0