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2006, 11-17 Permit App: 06004562 Mechanical FixturesSpokane�"� . Valley Community Development Permit Center 11707 E Sprague Ave, Suite 106 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 www.spokancvallev.org. Mechanical Permit Application n Commercial PERMIT NUMBER: y SIo a_ PERMITFEE: s- Residential SITE ADDRESS: <6 )3 kit© lc Building Owner y� / Name: /�,i1' ii/C eta /i e f Jas Phone: !92 7 _ ..aG Fax: Address: � ( 3 ,. L �^ City: �� State: �J� /4 !J Zip: Contractor Name: I - ) f�kij �2� !- - $d 1 �J C gen/rl Phone: Fax: Address: /2) (L is City: 5�� State: y�� Zip: !� e�.21 7 License No: �) al OW AI y '__[// City Business Lic: Contact / Name: �l'/,0 /dr, G( / / j/s T Phone: 91, c- Qo .7 DESCRIPTION OF WORK # OF UNITS 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 11 12 13 BOILER/REFRIGERATION BOILER/REFRIGERATION GAS LOG, GAS INSERT, GAS FIREPLACE RANGE 1,001 - 1,750M BTU More than 1,750M BTU X X X X $35.00 $60.00 $10.00 $10.00 14 DRYER x $10.00 15 FUEL BURNING WATER HEATER X $10.00 /0 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 3-15 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: ❑CASH ❑ CHECK ❑ VISA ❑ MC CARD #: AUTHORIZED SIGNATURE: REVISED 8/26/05 EXPIRES: VIN: SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: -qoo