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2007, 02-07 Permit App: 07000365 Wood StovePermit Center ? SpokanetastN11707 E Sprague Ave, Suite 106 _ Valley Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 Community Development wwwsookanevallcv.ors Mechanical Permit Application ❑ Commercial Vlyesidential (-7-3(9S PERMIT NUMBER: PERMIT FEE: SITE ADDRESS: //O / 6 evTH 8d &S,-/ H Re4, Building Owned, '. _ ,i`: + .,. *- . :,. ..:. . _. Name.S• o(Ru A/r- A fl bir)A% PhoneSDI-9a4-Sa)L.? Fax:. Address'Cttvuf ✓RL Stated A,G, Zrp e < // 0/ c, )(so „a." d1 5/, Ccl r/pK E 4S 9'4 2 .S,Aep f Name:. Phone: Fax: Address: City: State: Zip: License No: City Business Lic: " Contact i"t c ^'i ro S. r.. .. ..'tom i \" Name: Phone: DESCRIPTION OF WORK It OF UNITS X COST = TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100.000 X $12.00 = 2 FUEL BURNING APPLIANCE More than 100.000 X $15.00 3 UNLISTED APPLIANCE (Additional Fee) Equal to or less than 400,000 X $50.00 = 4 UNLISTED APPLIANCE (Additional Fee) More than 400,000 X $100.00 = 5 USED APPLIANCE (WSEC min. AFUE rating) Equal to or less than 400,000 X $50.00 = 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 $20.00 = 9 BOILER/REFRIGERATION 501 - 1,000M BTU X $25.00 = 10 BOILER/REFRIGERATION 1.001 - 1,750M BTU X $35.00 = 11 BOILER/REFRIGERATION More than 1,750M BTU X $60.00 = 12 GAS LOG. GAS INSERT. GAS FIREPLACE X $10.00 = 13 RANGE X $10.00 = 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 $12.00 = 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 $50.00 = 24 TYPE II HOOD X $10.00 = 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12.00 = 26 AIR CONDITIONER 3-15 TON X $20.00 27 AIR CONDITIONER 15-30 TON X $25.00 = 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 $10.00 = 32 WOOD STOVE - FREE STANDING i X $25.00 = 33 REPAIR & ADDITIONS X $15.00 = 34 VENTILATION SYSTEMS X $12.00 = 35 VENTILATION MECHANICAL EXHAUST X $12.00 36 INCINERATOR -RESIDENCE X $19.00 37 INCINERATOR -COMMERCIAL X $22.00 = METHOD OF PAYMENT: DCASH D CHECK 0 VISA 0 MC EXPIRES: CARD 11: VIN: SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: REVISED 8126/05