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2004, 12-27 Permit App: 04009536 Boiler, PipingP � Project Ad¢t`?s Owner: Mailing Address: MECHANICAL PERMIT APPLICATION Phone: (509) 688-0036; FAX: (509) 688-0037 For Ins actions, Call (509) 688-0054 er, crus Contractor: Mailing Address: License #: Community Development Department Building Division 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Permit Use: Phone (Daytime Contact):- City Phone #:j`��� Ziq Cede c Zrp Corse AUTHORIZED SIGNATURE DESCRIPTION OF WORK NOF UNITS X COST = TOTAL AMOUNT 1 F1JEL BURNING APPLIANCE Equal to or less than 100,000 $12 00 2 'FUEL BURNING APPLIANCE More than 100.000 III $15 00 3 UNLISTED APPLIANCE Additional Fee E.ual to or less than 400,000 $50 00 UNLISTED APPLIANCE Additional Fee More than 400 000 $100 00 USED APPLIANCE SEC min AFUE ratin. E.ual to or less than 400,000 $50.00 IIII USED APPLIANCE (WSEC min. AFUE rating) More than 400,000 Mil $100 00 BOILER/REFRIGERATION 1 - 100M BTU $12 00 II , BOILER/REFRIGERATION 101 - 500M BTU $20 00 Ell 9 BOILER/REFRIGERATION 501 - 1,000M BTU $25 00 10 BOILER/REFRIGERATION 1,001 - 1,750M BTU $35 00 BOILER/REFRIGERATION More than 1,750M BTU $60 00 GAS LOG, GAS INSERT, GAS FIREPLACE © $10 00 1111111 RANGE © $10 00 ME $10 00 DRYER UEL BURNING WATER HEATER $10 00 MISC FUEL BURNING APPLIANCE $10 00 = GAS PIPING (each outlet) = DUCT SYSTEMS 11111$1.00 $10 00 illi VENTILATING FANS $10 00 = 20 AIR HANDLER SDOES NOT include ducting) Equal to or less than 10,000 CFM $12 00 21 AIR HANDLER (DOES NOT include ducting) Greater than 10,000 CFM $15 00 22 EVAPORATIVE COOLERS $10 00 III 23 TYPE I HOOD $50 00 24 TYPE II HOOD $10 00 II 25 HEAT PUMP/AIR CONDITIONER 0-3 TON $12 00 26 AIR CONDITIONER 3-15 TON -� $20 00 AIR CONDITIONER 15-30 TON © $25 00 Ell 28 AIR CONDITIONER 30-50 TON $35 00 29 AIR CONDITIONER More than 50 TON II $60 00 30 LPG STORAGE TANK $10 00 WOOD OR PELLET STOVE/INSERT WOOD STOVE - FREE STANDING —© $10 00 $25 00 REPAIR & ADDITIONS $15.00 ill VENTILATION SYSTEMS $12.00 VENTILATION MECHANICAL EXHAUST 512.00 nimmim . 36 INCINERATOR — RESIDENCE $19.00 IIIIIIIIIIIIIIIII 37 INCINERATOR — COMMERCIAL MI® $22.00 METHOD OF PAYMENT: SUBTOTAL $35.00 DATE 0 CASH 0 CHECK ❑ VISA 0 MC PROCESSING FEE EXPIRES �j .moi' D - CARD 0 TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE