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2006, 02-06 Permit App: 06000353 Heat Pump, ACspo"kan Walley �= Community Development Mechanical Permit SITE ADDRESS Permit Center 11707E Sprague Ave, Suite 106 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 cation ❑ Commercial PERMIT NUMBER: PERMIT FEE:. eC/ Residential Building owner Name: l01'1 Phone: - � GG7 Fax: Address: ,SO City: 4 State: Zip: Contractor ...... Name: Phone: Fax: Address: City: State: Zip: License No: City Business License No: .Contact Name: Phone: DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 x $12.00 = 2 FUEL BURNING APPLIANCE More than 100,000 X $15.D0 = 3 UNLISTED APPLIANCE Additional Fee Equal to or less than 400,000 X $50.00 = 4 UNLISTED APPLIANCE Additional Fee More than 4D0,000 X $100.00 = 5 USED APPLIANCE (WSEC min. AFUE ratio Equal to or less than 400,000 X $50.00 = 6 USED APPLIANCE SEC min. AFUE ratio More than 400,000 X $100.00 - 7 BOILER/REFRIGERATION 1 -100M BTU X $12.00 - 8 . BOILERIREFRIGERATION 101 - 500M BTU X $20.00 - 9 BOILER/REFRIGERATION 501 - 1,000M BTU X $25.00 = 10 BOILER/REFRIGERATION 1,001 -1,750M BTU XE$63C5 BOILER/REFRIGERATION More than 1,750M BTU X12 GAS LOG, GAS INSERT, GAS FIREPLACE X13 RANGE X14 DRYER X $1 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 = 19 VENTILATING FANS X $10.00 - 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 3-15 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 - 36 INCINERATOR - RESIDENCE X $19.00 = 37 INCINERATOR - COMMERCIAL X $22.00 - METHOD OF PAYMENT: ❑CASH 0 CHECK P<VISA [3 MC MC CARD A. E)CPIF3E SUBTOTAL PROCESSING FEE TOTAL PERMIT FEE DUE: $35.00 AUTHORIZED SIGNATURE: xEVISED 9/26/05 IAOI�c.e