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2004, 07-08 Permit App: BLD-04-07117 Furnace
T0'30dd SOSTbSPE0S City of Spokane Valley Mechanical Permit Application SE:60 P00? 80 lnr 01-1-90 Fax # 688-0037 Project Address: 215 N Blake Permit Use: Owner. Lynn Soderquist Phone (daytime contact): 928-7979 Mailing Address: SAME (street) city/state) (zip) Contractor R&R Heating and AC, Inc. License: RRHEAA108BW Mailing Address: 4018 E Central Phone#: 484-1405 Spokane, Wa 99217 (street) (city/stale) (zip) DescrfpHonofWork #of units Coat = Amount 1 FuaI burning apphance - or < 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 = 000 4 Unlisted appliance (additional charge) > 400,000 X 100.00 = 0.00 5 Used appliance (0/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 Boiler/refrigeration 1-100M BTU X 15.00 = 0.00 8 Boiler/rofdgeration 101-SOOM 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 log, gas Insert gas fireplace- X 10.00 s 0.00 13 Range- X 10.00 = 0.00 14 Dryer- X 10.00 = 0.00 15 Fuel 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 = 0.00 20 Alr 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 10.00 = 0.00 22 Evaporative coolers- X 10.00 = 0.00 23 Type I hood- X 50.00 = 0.00 24 Type II hood - X 10.00 0.00 25 Heat pumplair conditioner 0-3 tons X 12.00 = 0.00 28 Air condNoner 3-15 tons X 20.00 = 0.00 27 Air conditioner 15.30 tone X 25.00 = 0.00 28 Air conditioner 30-50 tons X 35.00 a 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/Insert - X 10.00 = 0.00 32 Wood stove - free standing - X 25.00 =_ 0.00 ❑ Cash 0 Check 0 Visa 0 MasterCard Faxes permits will only be accepted with payment ore major credit card p ,t Date: 0 /O-1 Expires: t0 6 106 Subtotal 15.00 Plus Processing Fee 35.00 Total Permit Fee Due 50.00 Authorized Signature: TO/TO 39Vd 9NIlV3H Na S0STb91760S 9Z:60 1200Z/130/LB