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2005, 11-02 Permit App: 05004148 Mechanical FixturePermit Center SpoKane _ 11707 E Sprague Ave, Suite 106 jUalley Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 _' Community Development www.spokanevallev.orn.com Mechanical Permit Application ❑ Commercial PERMIT NUMBER: -4I 4g PERMIT FEE: - Residential SITE ADDRESS: 2 4" /. A -4 E- f H- 7\ 6. L. 3-4,k/rout v41 "t 997-/ 2 ..Building owner Name: /)/.}.0 //7 Pf r 2S Phone: &9 3 es- / C Fax: Address: 2 °// ird ti fc / /z /} ,Q E f hd ,Z o -i2 City:5,%'.,1, /)->✓C.Z Cd4I ? State: [{/ Zip:Q `1 2/2— Contractor _ .. _. -- '' -, _.. _.. .. ,.__ . _ Name: 5 9n/! /p" Phone: Fax Address: f City: State: Zip License No- City Business License No: . ..._....._ .. .. ..... ...... . :Contac[ �_'-�-',.'�- -- '- - - .,�._- Name: Phone: DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 r X $12 00 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 $12.00 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 $10 00 13 RANGE X $1000 14 DRYER X $10 00 15 FUEL BURNING WATER HEATER X $10 00 16 MISC. FUEL BURNING APPLIANCE X 510 00 17 GAS PIPING (each outlet) X $1 00 18 DUCT SYSTEMS X $10 00 19 VENTILATING FANS X 510 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 $1500 22 EVAPORATIVE COOLERS X $10 00 23 TYPE I HOOD X 550.00 24 TYPE II HOOD X ' $1000 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 525 00 28 AIR CONDITIONER 30-50 TON X 535 00 29 AIR CONDITIONER More than 50 TON X 560.00 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 ❑ CHECK ❑ VISA ❑ MC CARD #. AUTHORIZED SIGNATURE: DATE' EXPIRES: SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: REVISED 8/26/05