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2008, 06-11 Permit App: 08002222 Heat Pump, ACSblikane 4 Mi11e '` 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.spokanevallev.org PERMIT NUMBER: g- oZo� oZ PERMIT FEE: y% n Commercial Residential SITE ADDRESS: / C )' C- C710( -Cl /-I Building Owner Name: 0j S/4/ /i Phone: Z //,---. i/ 70 Fax: Address: � , .j L/., L- (i(Jf City: ��j,or,,,%/1/ t�'/� , State: Z/ Zip: Contractor Name: ` 1 V / 4�%L Phone: 7,/ / ,- 7 /FaxAddress: /fd2//- .. / / 7ii:C/�,4% City: SrC State: C/�# Zip:fzL3 License No: t // ,4 City Business Lic: Contact Ye �/�/t / (/ Name: t/ L Phone: 5 /f, 4/2 0/ DESCRIPTION OF WORK # OF UNITS X 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 FUEL BURNING APPLIANCE FUEL BURNING APPLIANCE Equal to or less than 100,000 More than 100,000 X $12.00 X $15.00 UNLISTED APPLIANCE (Additional Fee) UNLISTED APPLIANCE (Additional Fee) Equal to or less than 400,000 More than 400,000 X $50.00 X $100.00 USED APPLIANCE (WSEC min. AFUE rating) USED APPLIANCE (WSEC min. AFUE rating) BOILER/REFRIGERATION Equal to or less than 400,000 More than 400,000 X $50.00 X $100.00 1 - 100M BTU X $12.00 BOILER/REFRIGERATION BOILER/REFRIGERATION 101 - 500M BTU X $20.00 501 - 1,000M BTU X $25.00 BOILER/REFRIGERATION BOILER/REFRIGERATION 1,001 - 1,750M BTU X $35.00 More than 1,750M BTU X $60.00 GAS LOG, GAS INSERT, GAS FIREPLACE RANGE DRYER X $10.00 X $10.00 X $10.00 FUEL BURNING WATER HEATER X $10.00 MISC. FUEL BURNING APPLIANCE GAS PIPING (each outlet) DUCT SYSTEMS X $10.00 X $1.00 X $10.00 VENTILATING FANS X $10.00 AIR HANDLER (DOES NOT include ducting) AIR HANDLER (DOES NOT include ducting) EVAPORATIVE COOLERS TYPE I HOOD Equal to or less than 10,000 CFM Greater than 10,000 CFM X $12.00 X $15.00 X $10.00 X $50.00 TYPE II HOOD X $10.00 HEAT PUMP/AIR CONDITIONER AIR CONDITIONER AIR CONDITIONER 0-3 TON Y X $12.00 4-15 TON X $20.00 15-30 TON X $25.00 AIR CONDITIONER AIR CONDITIONER 30-50 TON X $35.00 More than 50 TON X $60.00 LPG STORAGE TANK X $10.00 WOOD OR PELLET STOVE/INSERT WOOD STOVE - FREE STANDING REPAIR & ADDITIONS X $10.00 X $25.00 X $15.00 34 35 36 37 VENTILATION SYSTEMS x $12.00 VENTILATION MECHANICAL EXHAUST INCINERATOR - RESIDENCE x $12.00 X $19.00 INCINERATOR - COMMERCIAL X $22.00 METHOD OF PAYMENT: ['CASH ❑ CHECK ❑ VISA ❑ MC CARD #: AUTHORIZED SIGNATURE: EXPIRES: VIN: SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: ` J12 Effective 10-28-07 P \Community Development \Fomu\Building fonns\Mechanical Permit Application.doc