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2004, 08-10 Permit App: BLD-04-07327 Water Heater**me awn Mechanical Permit Application 11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone Spokane Valley, WA 99206 509-688-0037 - Fax 02 -77 PROJECT ADDRESS: /6 7 /s( / /J 9� � J r PERMIT USE: X J(1 OWNER: 4- P / EQUALS AMOUNT PHONE (Daytime Contact): 92 se a 9 7,/ MAILING ADDRESS: X $15 r (street) (city/state) FUEL BURNING APPLIANCE (ZIP) CONTRACTOR/ % l (2 J $19 i 3c,,, 9 g i" r J A�yv/„ - MAILING ADDRESS: !/ ,, 77O <2 t' LICE 66;406C/9' .1) 'I—_ D 0 ''R 1 (street) (city/state) (ZIP) $100 METHOD OF PA 0 CASH KC DATE: t %O - 0 EXPIRES: BANKCARD NUMBER: AUTHORIZED SIGNATURE: DESCRIPTION OF WORK # OF UNITS X COST EQUALS AMOUNT 1 FUEL BURNING APPLIANCE - OR < 100,000 X $15 2 FUEL BURNING APPLIANCE > 100,000, X $19 - 3 UNLISTED APPLIANt:E (ADDITIONAL FEE) = OR < 400,000 X $50 - 4 UNLISTED APPLIANCE (ADDITIONAL FEE) > 400,000 X $100 = 5 USED APPLIANCE (WSEC min. AFUE rating) = or < 400,000 X $50 6 USED APPLIANCE (WSEC min. AFUE rating) > 400,000 X $100 - 7 BOILER/REFRIGERATION 1 - 100M BTU X $15 - 8 BOILER/REFRIGERATION 101- 500M BTU X $28 - 9 BOILER/REFRIGERATION 501 - 1,000M BTU X $39 - 10 BOILER/REFRIGERATION 1001 - 1,750M BTU X . $57 - 11 BOILER/REFRIGERATION +1750M BTU X $95 = 12 GAS LOG, GAS INSERT, GAS FIREPLACE - X $10 - 13 RANGE - X $10 = 14 DRYER - X $10 - 15 FUEL BURNING WATER HEATER - X 810 = /0e 6'4' 16 MISC FUEL BURNING APPL. - X $10 - 17 GAS PIPING (ea. Outlet) -- X $1 - 18 DUCT SYSTEMS - X $10 - 19 VENTILATING FANS - X $10 = 20 AIR HANDLER (DOES NOT include ducting) - OR < 10,000CFM X $12 - 21 AIR HANDLER (DOES NOT include ducting) > 10,000 CFM X $19 - 22 EVAPORATIVE COOLERS - X $10 23 TYPE I HOOD - X $50 - 24 TYPE II HOOD - - X $10 = 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12 - 26 AIR CONDITIONER 3-15 TON X $20 - 27 AIR CONDITIONER 15-30 TON X $25 - 28 AIR CONDITIONER 30-50 TON X $35 - 29 AIR CONDrFIONER +50 TON X $60 - 30 LPG STORAGE TANK -- X $10 - 31 WOOD OR PELLET STOVE/INSERT - X 810 = 32 WOOD STOVE -FREE STANDING - X 825 - KED . , '?.sE „ i SUBTOTAL: /D, 00 PLUS PROCESSING FEE: $35.00 TOTAL PERMIT FEE DUE: DATE: t %O - 0 EXPIRES: BANKCARD NUMBER: AUTHORIZED SIGNATURE: