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2008, 09-17 Permit App: 08003667 Mechanical FixturesSpokane 41ey. Community Development Mechanical Permit Application n Commercial Permit Center 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 www. spokaneval I e v.ore .Axo PERMIT NUMBER: PERMIT FEE: / O Residential SITE ADDRESS. 19 t / f( - Cnr I151e_ :Buddin Ovner , .. .:,. ,,.� ,� _ _ -_ '. ,r •; Name: 1 Cn OMC I_ l T Z. Phone: V/- Fax: y/� Address -1°I1i f Car i,1ic Ci 11�� t1 5P.icce Vnt(€yW/g State:Zr P 'Contractor . ., : . - ., -, /, Name t=16LM`Lewdrks Jri,/ Phone: '710-ob7t/t Fax �SB9) `726-4Sg9 Address: Ito o� Hl 5- /r}, r j()xr F C1ty' 5pdkw4L Urt (ley State: W d Zip: 4�c1 0 97 /' License No Fl A -NI EI °13110 e ! City Business Lic `0 2 5 15- SContaet _ Name. 'T'c Phone: 71 p 4 DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT FUEL BURNING APPLIANCE Equal to or less than 100,000 X $12.00 I2 2 FUEL BURNING APPLIANCE More than 100,000 X $15.00 3 UNLISTED APPLIANCE (Additional Fee) Equal to or less than 400,000 X $50.00 4 UNLISTED APPLIANCE (Additional Fee) More than 400,000 x $100.00 5 USED APPLIANCE (WSEC min. AFUE rating) Equal to or less than 400,000 X $50.00 6 USED APPLIANCE (WSEC min. AFUE rating) More than 400,000 X $100.00 7 BOILER/REFRIGERATION 1-.100M BTU X $12.60 8 BOILER/REFRIGERATION 101 - 500M BTU X $20.00 9 BOILER/REFRIGERATION 501 - 1,000M BTU X $25.00 10 BOILER/REFRIGERATION 1,001 - 1,750M BTU X $35.00 11 BOILER/REFRIGERATION More than 1,750M BTU X $60.00 12 GAS LOG, GAS INSERT, GAS FIREPLACE X sio.do 13 RANGE X $10.00 10 14 DRYER X $10.00 15 FUEL BURNING WATER HEATER X $10.00 16 MISC. FUEL BURNING APPLIANCE X $10.00 17 GAS PIPING (each outlet) X $1.00 18 DUCT SYSTEMS X $10.00 10 19 VENTILATING FANS 3 X $10.00 30 20 AIR HANDLER (DOES NOT include ducting) Equal to or less than 10,000 CFM X $12.00 21 AIR HANDLER (DOES NOT include ducting) Greater than 10,000 CFM X $15.00 22 EVAPORATIVE COOLERS X $10.00 23 TYPE I HOOD X $50.00 24 TYPE II HOOD X $10.00 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12.00 26 AIR CONDITIONER 4-15 TON X $20.00 27 AIR CONDITIONER 15-30 TON X $25.00 28 AIR CONDITIONER 30-50 TON X $35.00 29 AIR CONDITIONER More than 50 TON X $60.00 30 LPG STORAGE TANK X $10.00 31 WOOD OR PELLET STOVE/INSERT X $10.00 32 WOOD STOVE - FREE STANDING X $25.00 33 REPAIR & ADDITIONS X $15.00 34 VENTILATION SYSTEMS X $12.00 35 VENTILATION MECHANICAL EXHAUST X $12.00 Ia 36 INCINERATOR - RESIDENCE X $19.00 37 INCINERATOR - COMMERCIAL X $22.00 METHOD OF PAYMENT: CCASH C CHECK ilVISA C MC CARD #'. AUTHORIZED SIGNATURE: REVISED 8/26/05 EXPIRES:0 /251'0 VIN: SUBTOTAL 7S PROCESSING FEE TOTAL PERMIT FEE DUE: $35.00 A 1 I o 0d