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2004, 07-20 Permit App: BLD-04-07116 FurnaceT0'30dd S0ST1781760S City of Spokane Valley ST :ET b00z 82 lflf bi; _g 1 Mechanical Permit Application Fax# 888-0037 Project Address: 2504 N Bates Permit Use: Owner: Naccarato Const Phone (daytime contact): 922-0198 Mailing Address: SAME (street) ylstate) (zip) Contractor. R&R Heating and AC, Inc, „ter License: RRHEAA106BW Mailing Address: 4019 E Central Phone#: 484-1405 Spokane, Wa 99217 (street) (city/state) (zip) Description of Work # of units Cost a Amount 1 Fuel buming appliance - or c 100.000 1 X 15.00 = 15.00 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 (W SEC'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 = 0.00 7 Boilerlrefrfgeration 1-100M BTU X 15.00 = 0.00 8,Boilerhefngoralion 101-500M BTU X 28.00 = 0.00 9 Batiorirefrigeration 501-1.000M BTU X 39.00 = 0.00 10 Boller/refrigeration 1,Q01 -1,750M BTU X 57.00 - 0.00 11 Boiler/refrigeration + 1,750M BTU X 95.00 = r 0.00 12 Gas log. gas insert, gas fireplace - X 10.00 - 0.00 13 Range - X 10.00 a 0.00 14 Dryer - X 10.00 = 0.00 15 Fuol burning water heater - X 10.00 = 0.00 16 Miscellaneous fuel burning appliance - X 10.00 = 0,00 17 Gas piping, (each outlet)X - 1.00 -• 0.00 18 Duct systems- X 10.00 - 0.00 19 Ventilating fans - X 10.00 s 0.00 20 Air handler (does not Include ducting) - or < 10,000 CFM X 12.00 = 0,00 21 Air handier (does not include ductlnfl) > 10,000 CFM X 19.00^ = 0.00 22 Evaporative coolers- X 10.00 a 0.00 23 Type I hood- X 50.00 = 0.00 24 Type II hood- X 10.00 = 0.00 25 Heat pump/air conditioner 0-3 tons X 12.00 = 0,00 26 Air conditioner 3-15 tone X 20.00 = 0.00 27 Air conditioner 15-30 tons X 25.00 = 0.00 28 Air conditioner ' 30-50 tons X 35.00 c 0.00 29 Air conditioner + 50 tons X 60.00 = 0.00 30 LPG storage tank - X 10.00 = 0.00 31 Wood or pellet stove(Insar1 - X 10.00 = 0.00 32 Wood stove - free standing - X 25.00 = 0.00 0 Cash 0 Check 0 Visa 0 MasterCard Faxed permits will only be accepted win payment of a major credit card Date: -1'o 104 Expires: 6qtr 61 a 6 Subtotal 15.00 Plus Processing Fee � 35.00 Total Permit Fee Due 50.00 an car Number. Authorized Signature: TO/T2 39Vd 9NI1d3H dd S0;Ib9�60S E0:ZT t'00Z(80/L0