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2007, 04-19 Permit App: 07001351 Mechanical FixtureSpokane .Ma11ey• Community Development Mechanical Permit Application Permit Center 11707 E Sprague Ave, Suite 106 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 www.spokan oval l ev.oro PERMIT NUMBER: - f 57S-7 PERMIT FEE: ❑ Commercial ,j Residential Lir SITE ADDRESS: / 3y. E SOO/7 Building Owner -," Name: �1/' �� T• Phone: Fax: Address: �2 l c City: 5,ad20v 4. /,/-4, State: Alm Zip: F9� as Contractor �lrc/,re7 / Name: Phone: Fax: Address: City: State: Zip: License No: City Business Lic: Contact Name: Phone: DESCRIPTION OF WORK # OF UNITS 1 2 3 FUEL BURNING APPLIANCE Equal to or less than 100,000 1 X COST = TOTAL A X $12.00 ikoU FUEL BURNING APPLIANCE More than 100,000 X $15.00 UNLISTED APPLIANCE (Additional Fee) Equal to or less than 400,000 X $50.00 4 5 6 7 8 9 UNLISTED APPLIANCE (Additional Fee) More than 400,000 X $100.00 USED APPLIANCE (WSEC min. AFUE rating) USED APPLIANCE (WSEC min. AFUE rating) BOILER/REFRIGERATION BOILER/REFRIGERATION BOILER/REFRIGERATION Equal to or less than 400,000 X $50.00 More than 400,000 X $100.00 1 - 100M BTU X $12.00 101 - 500M BTU X $20.00 501 - 1,000M BTU X $25.00 10 11 12 13 14 BOILER/REFRIGERATION BOILER/REFRIGERATION 1,001 -1,750M BTU X $35.00 More than 1,750M BTU X $60.00 GAS LOG, GAS INSERT, GAS FIREPLACE RANGE X $10.00 X $10.00 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 DRYER X $10.00 FUEL BURNING WATER HEATER X $10.00 MISC. FUEL BURNING APPLIANCE GAS PIPING (each outlet) DUCT SYSTEMS X $10.00 X $1.00 X $10.00 VENTILATING FANS X $10.00 AIR HANDLER (DOES NOT include ducting) AIR HANDLER (DOES NOT include ducting) EVAPORATIVE COOLERS TYPE I HOOD Equal to or less than 10,000 CFM X $12.00 Greater than 10,000 CFM X $15.00 X $10.00 X $50.00 TYPE II HOOD X $10.00 HEAT PUMP/AIR CONDITIONER AIR CONDITIONER AIR CONDITIONER 0-3 TON X $12.00 4-15 TON X $20.00 15-30 TON X $25.00 30 31 32 AIR CONDITIONER AIR CONDITIONER 30-50 TON X $35.00 More than 50 TON X $60.00 LPG STORAGE TANK X $10.00 33 34 35 36 WOOD OR PELLET STOVE/INSERT WOOD STOVE - FREE STANDING REPAIR & ADDITIONS X $10.00 X $25.00 X $15.00 VENTILATION SYSTEMS X $12.00 VENTILATION MECHANICAL EXHAUST X $12.00 INCINERATOR - RESIDENCE X $19.00 37 INCINERATOR - COMMERCIAL X $22.00 METHOD OF PAYMENT: ❑CASH ❑ CHECK PliVISA ❑ MC CARD #: AUTHORIZED SIGNATURE: REVISED 8/26/05 EXPIRES: IN: SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: