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2006, 04-19 Permit App: 06001407 Mechanical Fixtures_ Permit Center Spokane 1 707 14 Slit -ago v J ®` -7l� (509)6-88-003 Y' Commun elopment WWW s u.N. , val ev.o Mecham 41 Petit/ 1:9,"1u'or SITE ADD S: i I a IU, rv4� uite 106 9206 509)688-0037 ❑ Commercial PERMIT NUMBER: (7/0 /? PERMIT FEE: (p S $ Residential Building O er IU) U & L - Name: C C�4EY� ��(�� Phone: $ 1-C�%0'-) �+ C) S Fax:50 1 - �y �i n -��1LA.) 7S I d -aa Address: iiaU ni, ��t�� �d Ci " ��we State: (Ail; zip: Saab Contractor ' Name: Phone: Fax: Address: City- State: Zip: License No: City Business Lic: Contact - - _ .. ,... - -... _ _ _. _ . ,. - _ .. - _ . .. Name: Phone: DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 X $1200 2 FUEL BURNING APPLLANCE More than 100.000 X 51500 3 UNLISTED APPLIANCE (Additional Fee) Equal to or less than 400,000 X 550.00 4 UNLISTED APPLIANCE (Additional Fee) More than 400,000 X $100.00 5 USED APPLIANCE (W SEC min AFUE rating) Equal to or less than 400,000 X 550.00 6 USED APPLIANCE (WSEC min AFUE rating) More than 400,000 X $100.00 7 BOILER/REFRIGERATION 1 - 100M BTU X $12.00 8 BOILER/REFRIGERATION 101 -500M BTU X 520 00 9 BOILER/REFRIGERATION 501 - 1,000M BTU X 525.00 10 BOILER/REFRIGERATION 1,001 - 1,750M BTU X 535.00 11 BOILER/REFRIGERATION More than 1,750M BTU X $60.00 12 GAS LOG, GAS INSERT, GAS FIREPLACE X $10.00 16 ,0U 13 RANGE ( X $10 00 /o, on 14 DRYER X $10 00 15 FUEL BURNING WATER HEATER X $10.00 16 MISC. FUEL BURNING APPLIANCE X $10.00 17 GAS PIPING (each outlet) X $1.00 18 DUCT SYSTEMS x $10.00 19 VENTILATING FANS X $10.00 20 AIR HANDLER (DOES NOT include ducting) Equal to or less than 10,000 CFM X 512.00 21 AIR HANDLER (DOES NOT include ducting) Greater than 10,000 CFM X $15.00 22 EVAPORATIVE COOLERS X $10.00 23 TYPE I HOOD X 550.00 24 TYPE II HOOD X $10.00 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X 512.00 26 AIR CONDITIONER 3-15 TON X $20.00 27 NR CONDITIONER 15-30 TON X 525.00 28 AIR CONDITIONER 30-50 TON X $35.00 29 AIR CONDITIONER More than 50 TON X $60.00 30 LPG STORAGE TANK X $10 00 31 WOOD OR PELLET STOVE/INSERT X 510.00 32 WOOD STOVE - FREE STANDING X $25.00 33 REPAIR & ADDITIONS x $15.00 34 VENTILATION SYSTEMS X 512.00 35 VENTILATION MECHANICAL EXHAUST x 512.00 36 INCINERATOR - RESIDENCE x 519.00 37 INCINERATOR - COMMERCIAL X 522.00 METHOD OF PAYMENT: DCASH ❑ CHECK ❑ VISA ❑ MC CARD #. AUTHORIZED SIGNATURE: REVISED 626/05 EXPIRES: VIN: SUBTOTAL 30,00 PROCESSING FEE TOTAL PERMIT FEE DUE: 535.00 (95,Go