2005, 11-08 Permit App: 05004241 Mechanical FixturesProject Address:
Owner:
Mailing Ad • ress:
Contractor. r
Mailing Address:
Phone: (509) 688-0036; FAX: (509) 688-0037
For Inspections, Call (509) 688-0054
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C 14 ecrf-vi�d AI( ,License #: i
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11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Permit Use: c K" 01A,01A,m'� Ful`� ' '`�- l-lgUt
Phone ( 'm Con ct): 9 Z Z - p S2
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AUTHORIZED SIGNATURE
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100.000
C
X
$12.00
=
1 2 0 O
.
2
FUEL BURNING APPLIANCE
More than 100.000 -
X
515.00
=
3
UNLISTED APPLIANCE (Addilonal Fee)
Equal to or less than 400,000
X
550.00
=
4
UNLISTED APPLIANCE (Additional Fee)
More than 400,000
X
5100.00
=
5
USED APPLIANCE (WSEC min. AFUE raring)
Equal to or less than 400.000
X
550.00
=
"
6
USED APPLIANCE (WSEC min. AFUE raring)
More than 400,000
X
5100.00
=
7
BOILER/REFRIGERATION
1-100M BTU
X
512.00
=
8
BOILER/REFRIGERATION
101 - 500M BTU
X
520.00
=
9
BOILER/REFRIF GERATION
501 -1.000M BTU
X
525.00
=
10
BOILER/REFRIGERATION
1.001 - 1,750M BTU
X
535.00
=
11
BOILER/REFRIGERATION
More than 1.750M BTU
X
560.00
=
12
GAS LOG, GAS INSERT. GAS FIREPLACE
X
510.00
=
13
RANGE
X
510.00
=
14
DRYER
X
510.00
=
15
FUEL BURNING WATER HEATER
X
510.00
=
16
MISC. FUEL BURNING APPLIANCE
X
510.00
=
17
GAS PIPING (each outlet)
X
51.00
=
18
DUCT SYSTEMS
X
510.00
=
19
VENTILATING FANS
X
510.0D
=
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
X
512.00
=
21
AIR HANDLER (DOES NOT include during)
Greater than 10,000 CFM
X
515.00
=
22
EVAPORATIVE COOLERS
X
510.00
=
23
TYPE 11-100D
X
550.00
=
24
TYPE 11 HOOD
X
510.00
=
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
1
X
512.00
=
/ C . 0 U
26
AIR CONDITIONER
3-15 TON
X
520.00
=
27
AIR CONDm0NER
15-30 TON
X
525.00
=
28
AIR CONDITIONER
30-50 TON
X
535.00
=
29
AIR CONDITIONER
More Ulan 50 TON
X
560.00
=
30
LPG STORAGE TANK
X
510.00
=
31
WOOD OR PELLET STOVEANSERT
X
510.00
=
32
WOOD STOVE - FREE STANDING
X
525.00
=
33
REPAIR & ADDITIONSX
515.00
=
34
VENTILATION SYSTEMS'
X
512.00
=
35
VENTILATION MECHANICAL EXHAUST
X
512.00
=
36
INCINERATOR - RESIDENCE
X
519.00
=
37
INCINERATOR- COMMERCIAL _
X
522.00
=
METHOD OF PAYMENT:
0 CASH 0 CHECK 0 VISA 0 MC
CARD #` ()
SUBTOTAL
Zq, 00
DATE
PROCESSING FEE
535.00
EXP IES:
TOTAL PERMIT FEE DUE:
(, ti ii
A
AUTHORIZED SIGNATURE