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2004, 12-27 Permit App: 04009518 Furnace, Piping
Project Address: Owner: Mailing Address: MECHANICAL PERMIT APPLICATION Phone: (509) 688-0036; FAX: (509) 688-0037 For Inspections, CaII (509) 688-0054 Contractor: lP� S2 License #: Community Development Department Building Division 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Permit Use: (L/S' -C � Phone (Dayilme Contact): G -''fit e vax «/ C ty State Phone #. Zip Code Mailing Address: state c Zip Code AUTHORIZED SIGNATURE DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100000 } X $12 00 = 1 2 ' d� 2 FUEL BURNING APPLIANCE More than 100,000 X $15 00 = 3 UNLISTED APPLIANCE Additional Fee Equal to or less than 400,000 X 550 00 = eUNLISTED ©USED APPLIANCE Additional Fee APPLIANCE (WSEC min AFUE ratin• More than 400,000 E.ual to or less than 400,000 © 5100 00 M © 550 00 e © $100 00 1111 e eBOILER/REFRIGERATION USED APPLIANCE SEC min AFUE ratin. More than 400,000 1 - 100M BTU © $12 00 mommi eBOILER/REFRIGERATION eBOILER/REFRIGERATION 101 - 500M BTU 501 - 1,000M BTU © $20 00 mum © $25 00 © $35 00 BOILER/REFRIGERATION 1,001 - 1,750M BTU -© 560 00 $10 00 �_.■ BOILER/REFRIGERATION More than 1,750M BTU GAS LOG, GAS INSERT, GAS FIREPLACE RANGE 00 DRYER MEM$10 510 00 = $10 00 FUEL BURNING WATER HEATER MISC FUEL INGet APPLIANCE 00 GAS PIPING each =� 5110 00 DUCT SYSTEMS 111111111M.11.11111111111111 $10 00 = VENTILATING FANS _e 510 00 e X $12 DO AIR HANDLERIDOES NOT include ducting) Equal to or less Nan 10.000 CFM AIR HANDLER DOES NOT include ductin. Greater than 10,000 CFM X 515 00 EVAPORATIVE COOLERS © © $10 00 IIIIIIIIIIIIIIIIIIIII 550 00 e TYPE I HOOD TYPE II HOOD -© © $10 00 e $12 00 1111111.11111.11 $20 00 e HEAT PUMP/AIR CONDITIONER 0-3 TON AIR CONDITIONER 3-15 TON 28 AIR CONDITIONER AIR CONDITIONER 15-30 TON 30-50 TON $25 00 e $35 00 29 AIR CONDITIONER More than 50 TON $60 00 30 LPG STORAGE TANK $10.00 31 WOOD OR PELLET STOVE/INSERT $10 00 32 WOOD STOVE - FREE STANDING 525 00 REPAIR & ADDITIONS 515.00 VENTILATION SYSTEMS $12.00 VENTILATION MECHANICAL EXHAUST 512.00 36 INCINERATOR - RESIDENCE © 519.00 37 INCINERATOR - COMMERCIAL X $22.00 = METHOD OF PAYMENT: SUBTOTAL CO DATE PROCESSING FEE $35.00 0 CASH 0 CHECK , l VISA 0 MC EXPIRES PERMIT FEE DUE: :)-0i � - CU 0 CARDTOTAL AUTHORIZED SIGNATURE