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2007, 07-16 Permit App: 07002729 Heat Pump, AC
Permit Center Spokane 11707 E Sprague Ave, Suite 106 tom' 1'Val ley Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 Community Development s.en^,v.:nukantcallevon; Mechanical Permit Application --77 SITE ADDRESS: �.C.C`� :7) eek\ PERMIT NUMBER: `Z7 PERMIT FEE: [] Commercial JResidential Building Owner Name: RUYIGLIa c -t-' +(l`l C -K 1 J Fax: Phone: �A � "- 4:5 Address: t 3 Sov 4. E V \c,; w N.,/ City: City: pc [^L1 As State: / / \ vV,r `\ . Zip: ?CI 2L 6 [ Contractor Rc Y cc0 a K t T c... Name: R �{\Vi t,ICL� 11i\ -;+2e Phone: Fax: �Z C�_ Lf 2�, 2c4f:-5-2,.. Address: VDCj E� Glx i L� 3 Z City '�L7� _ 5c v \ State: T D Zip: SS' 65:- License Na: City Business Lic: Contact Ia M (,i` �C\ (X-_ 11�I C.l l t � t�YL C.' `7�� 1 aCs? ' ,2 sT-6,2 Phone: Name: DESCRIPTION OF WORK # OF UNITS COST TOTAL AMOUNT FUEL BURNING APPLIANCE 2 FUEL BURNING APPLIANCE Equal to or less than 101000 More than 100,000 X 512.00 X 515.00 3 UNLISTED APPLIANCE (Additional Fee) 5 UNLISTED APPLIANCE (Additional Fee) USED APPUANCE (WSEC min. AFUE rating) 6 7 USED APPUANCE (WSEC min. AFUE rating) BOILER/REFRIGERATION Equal to or fess than 400,000 More than 400,000 Equal to or less than 400,000 More than 400,000 1 - 100M BTU x 550 00 X 5100.00 X 550.00 X $100.00 X 512.00 BOILER/REFRIGERATION 101 - 500M BTU X 520.00 9 10 11 BOI LERJREFRI GERATI ON BOILE R/REFRI GERATnON BOILER/REFRIGERATION 501 - 1 000M BTU X 525.00 1,001 - 1,750M BTU X $35.00 More than 1,750M BTU X 560.00 12 GAS LOG, GAS INSERT, GAS FIREPLACE X $10.00 13 RANGE X 510.00 14 DRYER X 510.00 15 FUEL BURNING WATER HEATER X $10.00 16 MISC. FUEL BURNING APPLIANCE x 510.00 17 GAS PIPING (each outlet) X 51.00 18 DUCT SYSTEMS X 510.00 19 VENTILATING FANS X 510.00 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 515.00 22 EVAPORATIVE COOLERS X 510.00 23 24 25 TYPE I HOOD X $50.00 TYPE 11 HOOD HEAT PUMPIAIR CONDITIONER X $10.00 0-3 TON X 512.00 26 AIR CONDITIONER 3-15 TON x 520.00 tz . 27 AIR CONDMONER 15-30 TON x 525.0o 28 AIR CONDITIONER 30-50 TON X 535.00 29 AIR CONDmONER More than 50 TON x 560.00 30 LPG STORAGE TANK X 510.00 31 WOOD OR PELLET STOVE/INSERT X 510.00 32 WOOD STOVE - FREE STANDING X $25.00 33 REPAIR & ADDITIONS 34 VENTILATION SYSTEMS X $15.00 X $12.00 35 36 VENTILATION MECHANICAL EXHAUST INCINERATOR - RESIDENCE X 512.00 X 519.00 37 INCINERATOR - COMMERCIAL X $22.00 METHOD OF PAYMENT: ©CASH 0 CHECK 0 VISA 0 MC CARD #: AUTHORIZED SIGNATURE: REVISED 8/26/05 EXPIRES: VIN: SUBTOTAL PROCESSING FEE 535.00 TOTAL PERMIT FEE DUE: