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2003, 12-22 Permit App: BLD-03-03321 Gas Log, Piping*lane , Spokane ,,,,00 Valley Mechanical Permit Application 11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone Spokane Valley, WA 99206 509-688-0037 - Fax For Inspections, call 509-688-0054 PROJECT ADDRESS: D Co, J PERMIT USE: OWNER: bla,4 O 4J /F� ©e 1 5 PHONE (Daytime Contact): 9O7. , 5-43 MAILING ADDRESS: // 90 / e4/Uiti AMOUNT 1 FUEL BURNING APPLIANCE = OR < 100,000 (street) (city/state) $15 - (ZIP) 2 FUEL BURNING APPLIANCE CONTRACTOR:/I AAI LICENSE #: X $19 = ' ' MAILING ADDRESS: �--lp % l/C/. — /�! ct .`5/ C.14.,,e PHONE #: p9 ,1 ? ��l/ �� 4 9"5", PGS > 400,000 (street) (city/state) X $100 (ZIP) 5 METHOD OF PA ❑ CASH ❑ C DATE: EXPIRES: BANKCARD NUMBER: AUTHORIZED SIGNATURE: DESCRIPTION OF WORK 8 OF UNITS X COST EQUALS AMOUNT 1 FUEL BURNING APPLIANCE = OR < 100,000 X $15 - ,_f fr-- 2 FUEL BURNING APPLIANCE > 100,000 X $19 = ' ' 3 UNLISTED APPLIANCE (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 510 = 16 MISC. FUEL BURNING APPL. - X $10 = 17 GAS PIPING (ea. Outlet) - X 81 18 DUCT SYSTEMS - X $10 = JIL-- 19 VENTILATING FANS - X 810 = 20 AIR HANDLER (DOES NOT include ducting) = OR < 10,000CFM X $12 = 21 AIR HANDLER (DOES NOT include ducting) > 10,000 CFM X 519 = 22 EVAPORATIVE COOLERS — X $10 - 23 TYPE I HOOD — X $50 = 24 TYPE II HOOD - X 810 = 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 CONDITIONER +50 TON X $60 - 30 LPG STORAGE TANK - X 510 .. 31 WOOD OR PELLET STOVE/INSERT - X $10 = 32 WOOD STOVE - FREE STANDING - X 825 - VIENT .''''''',a- : —V — tin SUBTOTAL: PLUS PROCESSING FEE: $35.00 TOTAL PERMIT FEE DUE: DATE: EXPIRES: BANKCARD NUMBER: AUTHORIZED SIGNATURE: