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2004, 08-31 Permit App: BLD-04-07535 Mechanical FixturesT0'3!dd S0StP8P609 City of Spokane Valley 90:60 b002 02 end Mechanical Permit Application Fax 0 688-0037 Project Address: 1112 S Century Rd Permit Use: Owner: J R Haase Phone (daytime contact): 924-8172 Mailing Address SAME (street) (city/state) (zip) Contractor. R&R Heating and AC, Inc. License: RRHEAA108BW Mailing Address 4019 E Central Spokane, Wa 99217 Phoned!: 484-1405 (street) (city/state) (zip) Description of Work # of units Cost = Amount 1 Fuel burning appliance - or < 100,000 X 15.00 = 0.00 2 Fuel burning appliance > 100,000 X 19.00 = 0.00 3 Unlisted appliance (additional charge) - or < 400,000 X 50.00 = 0.00 4 Unlisted appliance (additional charge) > 400,000 X 100.00 = 0.00 5 Used appliance (WSEC's min. AFUE rating) - or c 100,000 X 580.00 = 0.00 6 Used appliance (WSEC's min. AFUE rating) > 400,000 X 100.00 = 0.00 7 Boller/refrigeration 1.100M BTU X 15.00 = 0.00 8 Boiler/refrigeratIon' 101-500M BTU X 28.00 • 0.00 9 Boiler/refrigeration 501-1.000M BTU X 39.00 = 0.00 10 Boiler/refrigeration 1,001-1.750M BTU X 57.00 = 0.00 11 Boilerrefrigeration + 1.750M BTU X 95.00 ra 0.00 12 Gas log, gas insert, gas fireplace - X 10.00 = 0.00 13 Range - X 10.00 = 0.00 14 Dryer - X 10.00 = 0,00 15 Fuel burning water heater - X 10.00 = 0.00 16 Miscellaneous fuel burning appliance- X 10.00 t 0.00 17 Gas piping, (each outlet)- X 1.00 = 0.00 18 Duct systems- X 10.00 = 0.00 19 Ventilating fans - X 10.00 = 0.00 20 Air handler (does not include ducting) - or < 10,000 CFM 1 X 12.00 = 12.00 21 Air handier (does not include ducting) > 10,000 CFM X 19.00 = 0.00 22 Evaporative coolers- X 10.00 = 0.00 23 Type I hood - X 50.00 = 0.00 24 Type II hood - X 10.00 = 0.00 25 Heat pump/air conditioner 0-3 tons 1 X 12.00 = 12.00 26 Air conditioner 3-15 tons X 20.00 is 0.00 27 Air conditioner . 15-30 tons X 25.00 = 0.00 28 Air conditioner 30-50 tons X 35.00 = 0.00 29 Alr conditioner + 50 tons X 60.00 = 0.00 30 LPG storage tank - X 10.00 = 0.00 31 Wood or pellet stove/insert - X 10.00 = 0.00 32 Wood stove - freestanding- X 25.00 = 0.00 0 Cash 0 Check 0 Visa 0 MasterCard Faxed permits will only be accepted with payment of a major credit card Date: Expires: Subtotal 24.00 Plus Processing Fee 35.00 Total Permit Fee. Due 59.00 Bankcard Number, Authorized Signature: T0/T0 3SCd BNIlti3H ba S0STb3P60S 05:80 b00Z/0E/90