2005, 12-05 Permit App: 05004566 Heat Pump11 / jU/ 2UUbb 11:44 '30y484tsi iL
Sp°1a rye
410200
I ley
Permit Center
11707 E. Sprague Ave., Suite 106
Spokane Valley, \VA 99206
(509)688-0036 FAX: (509)688-0037
,xv. luanevaley.ora.com
Community Development
Mechanical Permit Application
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PERIvll"1' NUMBS I<
IPERNIITFEE:
CI Commercial [2' Residential
4330 S. Locust Road Spkane Valk y, WA 99206
Authorized Signature:
HOU 32 2225 12:22
iA161(.(
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5294548332 PHGE.121
Building owner:
Name: David Knapp
Phone: 926-1467 Fax:
Address: 4330 S. Locust Road
City: Spokane Valley
State: WA Zip: 99212
Contractor: R & R Heating & NC, Inc.
Name:
('hone: 484-1405 Fax: 484-8332
Address: 4019 E. Centra( Ave,
City: Spokane State: WA Zip: 99217
License No: RRHEAA'106BW
City Business License No:
DESCRIPTION OF WORK#
OF UNITS
X
COST 1
=
TOTAL AMOUNT
1
FUEL BURNING APLIANCE
Equal to or less than 100,000
1
X
12.00
=
12.00
2
FUEL BURNING APLIANCE
Mo 'e than 100,000
X
15.00
=
0.00
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
X
50.00
=
0.00
4
UNLISTED APPLIANCE (Additional Fee)
Moe than 400,000
X
100.00
=
0.00
5
USED APPLIANCE (WSEC's min. AFUE rating)
Equal to or less than 400,000
X
50.00
=
0.00
6
USED APPLIANCE (WSEC's min. AFUE rating)
Mo'e than 400,000
X
100.00
=
0.00
7
BOILER/REFRIGERATION
I -100M BTU
X
12.00
=
0.00
8
BOILER/REFRIGERATION
1)1-500M BTU
X
23.00
=
0.00
9 ,BOILER/REFRIGERATION
5C1 -1,000M BTU
X
25.00
=
0.00
10
BOILER/REFRIGERATION
1,0)1-1,750M ETU
X
35.00
=
0.00
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
60.00
=
0.00
12
GAS LOC, OAS INSERT, GAS FIREPLACE
X
10.00
=
0,00
13
RANGE
X
10.00
=
0.00
14
DRYER
X
10.00
=
0.00
15
FUEL BURING WATER HEATER
X
10.00
=
0.00
16
MIS. FUELBURNING APPLIANCE
X
10.00
=
0.00
17
GAS PIPING (each unit)
X
1.03
=
0.00
18
DUCT SYSTEM
X
10,00
=
0.00
19
VENTILATING FANS
X
10.00
=
0.00
20
AIR HANDLER (DOES NOT include ducting)
Equal to of less than 10,0000 CFM
X
12.00
=
0.00
21
AIR HANDLER (DCES NOT include ducting)
Greats:r than 10,000 CFM
X
15.00
=
0.00
22
EVAPORATIVE COOLERS
X
10.00
=
0.00
23
TYPE I HOOD
X
50.00
=
0.00
24
TYPE II HOOD
X
10.00
=
0.00
25
HEATPUMP/AIR CONDITIONER
0-3 TON
1
X
12.00
=
12.00
26
AIR CONDITIONER
3-15 TON
X
20.00
=
0.00
27
AIR CONDITIONER
15-30 TON
X
25.00
=
0.00
28
AIR CONDITIONER
30-50 TON
X
35.00
=
0.00
29
AIR CONDITIONER
Mere than 50 TON
X
50.00
=
0.00
30
LPG STORAGE TANK
X
10.00
=
0.00
31
WOOD OR PELLET STOVE/INSERT
X
10.00
=
0.00
32
WOOL STOVE - FREE STANDING
X
25.00
=
0.00
33
REPAIR & ADDITIONS
X
15.00
=
0.00
34
VENTILATION SYSTEMS
X
12.00
=
0.00
35
VENTILATION MECHANICAL EXHAUST
X
12.00
=
0.00
36
INCINERATOR - RESIDENCE
X
18.00
=
0.00
37
INCINERATOR - COMMERCIAL
X
22.00
=
0.00
METHOD OF PAYMENT:
C3 CASH 0 CHECK Prh VISA ti MC
noon n,U Pn P
i
-
DATE: ll./ c)
SUBTOTAL
24.00
PROCESSING FEE
35.00
EXPIRES: 06(]6
TOTAL PERMIT FEE DUE:
59.00
Authorized Signature:
HOU 32 2225 12:22
iA161(.(
"i.
i.!
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1
5294548332 PHGE.121