2004, 08-24 Permit App: BLD-04-07478 AC50;' TO"30dd SOSTv8v6OS
City of
Spokane Valley
Mechanical Permit Application
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Fax # 688-0037
Project
Address: 3506 N Center Rd
Permft
Use:
Cwvner. Betty Carroll
Phone (daytime contact):
924-3717
Mailing Address SAME
(street)
(c' /state)
(zip)
Contractor. R&R Heating and AC, Inc.
License:
RRHEAA1068W
Mailing Address 4019 E Central
Spokane, We 99217
(street)
Phone#:
ci /state(zip)
484-1405
Descri tion of Work
8 of units
cost
=
Amount
1 Fuel bumin a iance
- or < 100,000
X
15.00
=
0.00
2 Fuel burning appliance
> 100,000
X
19.00
a
0.00
3 Unlisted appliance additional charge)
- or < 400,000
X
50.00
s
0.00
4 Unlisted appliance (additional charge)
> 400,000
X
100.00
0.00
5 Usad appliance SEC's min. AFUH ra )
8 I Used appliance EC's min. AFUE rating)
- or < 100.000
> 400,000
X
X
580.00
100.00
=
0.00
0.00
7 Boiler/refri eretlon
1-100M BTU
X
15.00
=
0.00
8 Boiler/refrl oration
101500M BTU
X
28.00
=
0.00
91 Boller/refrigeration
501-10001V! BTU
X
39.00
=
0.00
10 Boller/refr' oration
1,001.1,760M BTU
X
57.00
=
0.00
11 Bolledrefrl oration
+ 1.750M BTU
X
95.00
=
0.00
12 Gas log. gas insert as fireplace
X
10.00
=
0.00
13 RanGe
X
10.00
=
0.00
14 D er
-
X
10.00
s
0.00
15 Fuel bumin Water heater
-
X
10.00
0.00
16 Miscellaneous fuel burning appliance
-
X
10.00
=
0.00
17 Gas piping (each outlet)
X
1.00
=
0.00
18 Duct systems
19 VentilatiN fans
-
-
X
X
10.00
10.00
=
=
0.00
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
19.00
0
0.00
22 Eva orative coolers
-
X
10.00
=
0.00
23 Type I hood
-
X
50.00
=
0.00
24 Type ll 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
=
0.00
27 Air conditioner
28 1 Air conditioner
15-30 tons
30-50 tone
X
X
25.00
35.00
-
=
0.00
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 stoverinsert
32 Wood stove - free standing
-
-
X
X
10.00
25.00
=
=
0.00
0.00
D Cash C3 Check ❑ Visa ❑ Mastercara
Faxed permits vAll only be accepted with payment of a major credit carts
Rate: Expires,
Bankcard Number.
Authorized Signature:
TO/TO 39Vd
9NI1173H dd
OuUtUL01
12.001
Plus Processing
Fee 35•00
Total Permit Fee
Due 47.00
S09TG9v609 9Z:TT t?00Z/SZ/B0