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2003 Permit App: 03000464 Water Heaterart < +/"" 11707 East Sprague Avenue, Suite 106 ileI Spokane Valley, WA 99206 40.. %alley • Mechanical Permit Application 509-688-0036 - Phone 509-688-0037 - Fax PROJECT v25j' j%t jj1OWNER: 9 OF UNITS PERMIT O" " 1 ft-71)LACEN\--1" s.ADDRESS: USE: Ri,'0//eo --e-- AMOUNT PHONE (Daytime Contact): 926, ,r , 97 9921% MAILING ADDRESS: (street) (city/state) (ZIP) CONTRACTOR/4_ r t /C ` (- FUEL BURNING APPLIANCE LICENSE #. 3G.s f g A.,e ,:,Ta4, '�J MAILING ADDRESS: ,,'720 $19 2>fe— e.11/1-- PHONE # .261 6611:06V9' 60`V9' D 0 R /cif (street) = OR < 400,000 (city/state) (ZIP) METHOD OF PA ❑ CASH )4 C DATE: EXPIRES: BANKCARD NUMBER AUTHORIZED SIGNATURE: DESCRIPTION OF WORK 9 OF UNITS X COST EQUALS AMOUNT 1 FUEL BURNING APPLIANCE - OR < 100,000 X 815 - 2 FUEL BURNING APPLIANCE > 100,000 X $19 - 3 UNLISTED APPLIANCE (ADDITIONAL FEE) = OR < 400,000 X $50 = 4 UNLISTED APPLIANCE (ADDITIONAL FEE) > 400,000 X $100 = 5 USED APPLIANCE (WSEC min. AFUE rating) - or < 400,000 X $50 - 6 USED APPLIANCE (WSEC min. AFUE rating) > 400,000 X $100 - 7 BOILER/REFRIGERATION 1 - 100M BTU X $15 - 8 BOILER/REFRIGERATION 101 - 500M BTU X $28 - 9 BOILER/REFRIGERATION 501-1,000M BTU X $39 - 10 BOILER/REFRIGERATION 1001 - 1,750M BTU X 857 = 11 BOILER/REFRIGERATION +1750M BTU X $95 - 12 GAS LOG, GAS INSERT, GAS FIREPLACE - X $10 = 13 RANGE - X $10 = 14 DRYER - X $10 = 15 FUEL BURNING WATER HEATER - X $10 . j 0 16 MISC FUEL BURNING APPL. - X 810 = 17 GAS PIPING (ea. Outlet) - X $1 - 18 DUCT SYSTEMS - X $10 - 19 VENTILATING FANS - X $10 - 20 AIR HANDLER (DOES NOT Include ducting) - OR < 10,000CFM X 812 - 21 AIR HANDLER (DOES NOT include ducting) > 10,000 CFM X $19 - 22 EVAPORATIVE COOLERS - X 810 - 23 TYPE I HOOD - X 850 = 24 TYPE II HOOD - X 810 = 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12 - 26 AIR CONDITIONER 3-15 TON X 820 - 27 AIR CONDITIONER 15-30 TON X $25 - 28 AIR CONDITIONER 30-50 TON X $35 - 29 AIR CONDITIONER +50 TON X $60 - 30 LPG STORAGE TANK -- X $10 = 31 WOOD OR PELLET STOVE/INSERT - X 810 = 32 WOOD STOVE - FREE STANDING - X $25 = HENT 116.4 react_ SUBTOTAL: _t 6 ©© PLUS PROCESSING FEE: $35.00 TOTAL PERMIT FEE DUE: LK_ cri DATE: EXPIRES: BANKCARD NUMBER AUTHORIZED SIGNATURE: