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2005, 03-28 Permit App: 05000991 Range, PipingMECHANICAL PERMIT APPEICATION Phone: (509) 688-0036; FAX: (509) 688-0037 For Inspections, CaII (509) 688-0054 Project Address: ` � � Owner: Mailing Address: `1`71 Community Development Departmen Building Divisior 11707 E. Sprague Avenue, Suite 10E Spokane Valley, WA 9920E Permit Use: yelne (Daytime Contact): City State Zip Code Phone #: Mailing Addres // /07 `77 V City state Zip Code. Contractor: et" License #: AUTHORIZED SIGNATURE: DESCRIPTION OF WORK # OF UNITS X COST = TOTAL. AMOUNT 1 FUEL BURNING APPLIANCE Equal to or Tess than 100,000 X $t2.00 = 2 FUEL BURNING APPLIANCE More than 100,000 X 515.00 = 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 5100.00 = 5 USED APPLIANCE (WSEC min. AFUE rating) Equal to or less than 400,000 X 550.00 = - 6 USED APPLIANCE (WSEC min. AFUE rating) More than 400,000 X ' $100.00 = 7 BOILER/REFRIGERATION 1 - 100M BTU X 512.00 = 8 BOILER/REFRIGERATION 101 - 500M BTU X 520.00 = 9 BOILER/REFRIGERATION 501 - 1,000M BTU X 525.00 = 10 BOILER/REFRIGERATION 1,001 - 1,750M BTU X $35.00 = ' 11 BOILER/REFRIGERATION More than 1,750M BTU X 560.00 = 12 GAS LOG, GAS INSERT, GAS FIREPLACE X • 510.00 = 13 RANGE • X 510.00 = / 0 `-r'' 14 DRYER X 510.00 = 15 FUEL BURNING WATER HEATER X 510.00 = 16 MISC. FUEL BURNING APPLIANCE X 510.00 = 17 GAS PIPING (each outlet) X $1.00 = 18 DUCT SYSTEMS X 510.00 = 19 VENTILATING FANS X 510.00 = 20 AIR HANDLER (DOES NOT include ducting) Equal to or Tess than 10,000 CFM X 512.00 = 21 AIR HANDLER (DOES NOT include ducting) Greater than 10,000 CFM X 515.00 = 22 EVAPORATIVE COOLERS_ X 510.00 = 23 TYPE I HOOD X 550.00 = 24 TYPE II H000 X 510.00 = 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X 512.00 = 26 . AIR CONDITIONER ' 3-15 TON X 520.00 = 27 AIR CONDITIONER 15-30 TON X $25.00 = 28 AIR CONDITIONER 30-50 TON X 535.00 = 29 AIR CONDITIONER L. More than 50 TON X 560.00 = 30 LPG STORAGE TANK X 510.00 = 31 WOOD OR PELLET STOVE/INSERT X 510.00 = 32 WOOD STOVE - FREE STANDING X 525.00 = 33 REPAIR & ADDITIONS X 515.00 = 34 VENTILATION SYSTEMS X • 512.00 = 35 VENTILATION MECHANICAL EXHAUST X 512.00 = 36 INCINERATOR - RESIDENCE " X 519.00 = 37 INCINERATOR - COMMERCIAL X $22.00 = METHOD OF PAYMENT: 0 CASH ID CHECK 0 VISA 0 MC CARD #: DATE: SUBTOTAL PROCESSING FEE 535.00 EXPIRES: TOTAL PERMIT FEE DUE: C' AUTHORIZED SIGNATURE: