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2009, 02-20 Permit App: 09000414 Mechanical Fixtures Permit Center S���Okane 11703 E Sprague Ave,Suite B-3 Spokane Valley,WA 99206 0-14PERMIT NUMBER: 1l -, P '..Valley (509)688-0036 FAX:(509)688-0037 PERMIT FEE: SCD Community Development permitcentern,spokanevalley.org Mechanical Permit Application I I Commercial Residential SITE ADDRESS: /Z%Ciel c 1) --S,- /:-.----7- Building Building Owner Name: K, Ji 1,1 Phone: Fax: Address: !Z em c. G )6.1.-S/1-7( 7 Ci k./1r/C� V p'9'ire, State: J.. tip. Contractor 7 �/ Name: N/9-e-- v / 7J6 Phone: Fax: Address: Zy ZD S 6/2,.,,0 gf,,,dp/ '13/e3 City:� S��Gc 4A/�� State:moi,7z ZIP. _-24 Zi_Y License No: City Business Lic: Contact Name: Phone: DESCRIPTION OF WORK 1 #OF UNITS l 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 $15.00 = 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 $10.00 = 14 DRYER X $10.00 = 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 4-15 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: SUBTOTAL ❑CASH El CHECK VISA El MC EXPIRES. PROCESSING FEE $35.00 CARD#: VIN' TOTAL PERMIT FEE DUE: _` •G/�/ AUTHORIZED SIGNATURE: REVISED 8/26/05