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2004, 04-12 Permit App: BLD-04-04044 Mechanical FixturesSiblane Dalley MECHANICAL PERMIT A City of Spokane Valley Community Developmen Bu 11707 E. Sprague Aven Spokane Valley Phone: (509) 688-0036; Fax: (5 FOR INSPECTIONS, CALL (5 Project Address: // 7 ? / 9/c�/37C'C Owner: Jo)S € 7OH /J arc-/ Mailing Address: Contractor: Mailing Address: // 7 2- / i= G2/46 Permit Use: Phone (Daytime Contact): 9 2 -0/ 7 PLICATION Department dingDivision e, Suite 106 WA 99206 9) 688-0037 9) 688-0054 City License #: Sian /VIiut' City State Phone #: /4 State Zip Code 99l.a(a Zip Code AUTHORIZED SIGNATURE: DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 'u ' 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 ! X $15.00 = 2 FUEL BURNING APPLIANCE More than 100,000 X $19.00 = 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 $15 00 = 8 BOILER/REFRIGERATION 101 - 500M BTU X $28.00 = 9 BOILER/REFRIGERATION 501 - 1.000M BTU X $39 00 = 10 BOILER/REFRIGERATION 1,001 - 1,750M BTU X $57.00 = 11 BOILER/REFRIGERATION More than 1,750M BTU X $95.00 = 12 GAS LOG. GAS INSERT, GAS FIREPLACE X $10 00 13 RANGE X $10.00 = 14 DRYER X $1000 = 15 FUEL BURNING WATER HEATER 1 X $10 00 = 16 MISC FUEL BURNING APPLIANCE X $10.00 = 17 GAS PIPING (each outlet) .Z 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 $1200 r- 21 21 AIR HANDLER (DOES NOT include ducting) Greater than 10.000 CFM - X $1900 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 $3500 = 29 AIR CONDITIONER More than 50 TON X $60.00 = 30 LPG STORAGE TANK X $10.00 = 31 WOOD OR PELLET STOVE/INSERT X $1000 = 32 WOOD STOVE - FREE STANDING X $25.00 = METHOD OF PAYMENT: ❑ CASH ElCHECK ❑ VISA ElMC CARD # DATE: SUBTOTAL PROCESSING FEE $35.n5.00/�'x\\ EXPIRES' TOTAL PERMIT FEE DUE: ' 0r>< cE/u/ AUTHORIZED SIGNATURE: