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2004, 07-20 Permit App: BLD-04-07114 Furnace, ACT0'39FJd SOS IPBPE0S City of Spokane Valley Mechanical Permit Application 95 : T T 7002 zo -Inr Q'Y- 9 lc( Fax #688-0037 Project Address: 14023 E Desmet Permit Use: Owner. Robert Havens Phone (daytime contact): 534-7914 Mailing Address: SAME (street) city/state) (zip) Contractor. R&R Heating and AC, Inc. License: RRHEAA106BW Mailing Address: 4019E Central Phone#: 484-1405 Spokane, We 99217 (street) (city/state) (zip) Description of Work riot units Cost • Amount 1 Fuel burning appliance - or < 100.000 1 X 15.00 = 15.00 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 < 100.000 X 680.00 • 0.00 6 Used appliance (WSEC's min. AFUE rating) > 400,000 X 100.00 = 0.00 7 Boiler/refrigeration 1.100M BTU X 15.00 = 0.00 8 Boller/refrigeration 101-500M BTU X 28.00 • 0.00 9 Boller/refrigeration 501-1.000M BTU X 39.00 = 0.00 10 Bollerfrefrigeration 1,001.1,750M BTU X 57.00 = 0.00 11 Boiler/refrigeration + 1,750M BTU X 95.00 = 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 buming water heater - X 10.00 = 0.00 16 Miscellaneous fuel burning appliance - X 10.00 = 0.00 17 Gas piping, (each owlet) - X 1.00 = 0.00 18 Duct systems - X 10.00 = 0.00 19 Ventilating fans - X 10.00 a 0.00 20 Air handler (does not include ducting) - or < 10,000 CFM X 12,00 = 0.00 21 Air handler (does not include ducting) > 10.000 CFM X 19.0D = 0.00 22 Evaporative coolers - X 10.00 • 0.00 23 Type I hood - X 50.00 = 0.00 24 Type 11 hood - X 10.00 It 0.00 25 Heat pump/alr conditioner 0-3 tons 1 X 12.00 = 12.00 26 Air conditioner 3-15 tons X 20.00 = 0.00 27 Air conditioner 1530 tons X 25.00 • 0.00 28 Air conditioner 30-50 tons X 35.00 = 0.00 29 Alr conditioner + 50 tone X 80.00 = 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 ❑ Visa 0 MasterCard Subtotal 27.00 Fared permitsMI only be accepted with payment of a major credit card Plus Processing Fee 35.00 Date: Expires: Total Permit Fee _ Due 62.00 Authorized Signature: TO/T0 39tid 9NIlV3H as 50SIVBP605 VETT b00Z/Z0/L0