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2005, 08-03 Permit App: 05002689 AC08/01/2005 10:48 5094841405 RR HEATING PAGE 01/01 U8 Building Division Mechanical Permit Application Community Development Department City of •9" ~; Spokane Phone: (509) 688-0036; FAX: (509) 688-0037 11707 E. Sprague Ave., Suite 108 Valley for Inspections, call (509) 688-0054 Spokane Valley, WA 99206 Project Address: 1709 N. Felts Rd Owner. Marlene Montgomery Mailing Address: 1709 N. Felts Rd Permit Use: Phone (daytime contact): (509) 924-0467 Spokane Valley WA 99206 city state zip code Contractor. R & R Heating & A/C, Inc. License #: RRHEAA`106BW Phone#: 484-1405 Mailing Address: 4019 E. Central Ave. Spokane cdv WA state 99217 vo code Authorized Signature: AUG 01 2005 12:01 5094841405 PAGE.01 Description of Work # units x Cost = Amount 1 Fuel burning appliance equal to or less than 100.000 1 X 12.00 = 12.00 2 Fuel burning appliance more than 100,000 X 15.00 = 0,00 3 Unlisted appliance (additional charge)' equal to or less than 400,000 X 50.00 = 0.00 4 Unlisted appliance (additional charge) more than 400,000 X 100.00 = 0.00 5 Used appliance (WSEC's min. AFUE rating) equal to or less than 400,000 X 50.00 = 0.00 6 Used appliance (WSEC's min. AFUE rating) more than 400,000 X 100.00 = 0.00 7 Boller/refrigeration 1-100M BTU X 12.00 = 0.00 8 Boiler/refrigeration 101-500M BTU X 20.00 = 0.00 9 Boiler/refrigeration 501-1.000M BTU X 25.00 = 0.00 10 Boiler/refrigeration 1.001.1.750M BTU X 35.00 = 0.00 11 Boller/refrigeration + 1,750M BTU X 60.00 = 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 burning 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 X 10.00 = 0.00 19 Ventilating fans X 10.00 = 0.00 20 Air handler (does not include ducting) equal to or less than 10.0000 CFM X 12.00 = 0.00 21 Air handler (does not include ducting) Greater than 10,000 CFM X 15.00 = 0.00 22 Evaporative coolers X 10.00 = 0.00 23 Type I hood X 50.00 = 0.00 24 Type II hood X 10.00 = 0.00 25 Heat pump/air conditioner 0-3 ton 1 X 12.00 = 12.00 26 Air conditioner 3-15 ton X 20.00 = 0.00 27 Air conditioner 15-30 ton X 25.00 = 0.00 26 Air conditioner 30-50 ton X 35.00 = 0.00 29 Air conditioner more than 50 ton X 60.00 = 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 - free standing X, 25.00 = 0.00 33 Repair & additions X 15.00 = 0.00 34 Ventilation systems X 12.00 = 0.00 35 Ventilation mechanical exhaust X 12.00 = 0.00 36 Incinerator- residence X 18.00 = 0.00 37 incinerator -commercial X 22.00 = 0.00 Method of payment: 0 Cash 0 Check 0 Visa 0 MasterCard Card #: ON FILE Subtotal 24.00 Processing Fee 35.00 Date: 8/1/2005 Expires: Jun -06 Total Permit Fee Due: 59.00 Authorized Signature: AUG 01 2005 12:01 5094841405 PAGE.01