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2008, 03-04 Permit App: 08000697 Water HeaterIcane 4Val1ey- Community Development Mechanical Permit Application Permit Center 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 www.spokanevalley.or¢ SITE ADDRESS: Fl Commercial PERMIT NUMBER: aTi -7 PERMIT FEE: 24 Residential Building Owner �(�� Name: ' ' �� Phone: (��7 94 3 3 Fax: Address: , / y City:State: 1 e Zip: (3 >Z./b Contractor r Name: -4.,� -ems Phone: Fax: ,-� 1 .66 51_,06 s�A Address: ( 77 t).. /- f1c? City:l� State: 349- Zip: �) p / r 3 Y License No: II 4?/1/ Sc f,8 �( City Business Lic: ©/({ Contact Name: e- Q.t.7??t Oc1-' Ph4X)5)1; /S CO DESCRIPTION OF WORK # OF UNITS COST = TOTAL AMOUNT 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 12 13 BOILER/REFRIGERATION More than 1,750M BTU X $60.00 GAS LOG, GAS INSERT, GAS FIREPLACE X $10.00 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 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 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 4-15 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 X $25.00 33 REPAIR & ADDITIONS X $15.00 VENTILATION SYSTEMS X $12.00 35 VENTILATION MECHANICAL EXHAUST X $12.00 INCINERATOR - RESIDENCE X $19.00 37 INCINERATOR - COMMERCIAL X $22.00 METHOD OF PAYMENT: DCASH D CHECK CARD #: AUTHORIZED SIGNATURE: REVISED 8/26/05 VISA 0 MC EXPIRES: VIN: SUBTOTAL PO 9C' PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: