2005, 09-30 Permit App: 05003594Mechanical Fixturessep aU U5 Ua:Uaa Jett tleaara 0RT-U.7.7..7 1-•
SEP 02 2005 16:33 FR 1 Jo J . J1 V L,0 I U -r-*p ( +c r.
Commmily Developmcnt
Mechanics) Permit
Da mit Ccoty
11707 E Sprague Avc, 5uitn 106
Spokane Ve11cY, WA 99206
(Sp9)68S-0036 FAX: (309)688-0037
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A"nl;"tinn o Commercial
PERMIT NUMBER:
PERMIT FEE:
entiel
AUTHORIZED SIGNATURE:
If
%MSED M26m)
** TOTAL PAGE -04 **
SEP 30 2005 09:26 344 0355 PAGE.01
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FAX
Nems:
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Phone,
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N q Z(
33 0Aj
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Colts .
naalws:
Ceatractor
Fox: 1<
Name:
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PM�ne:
Mir
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AddTas:
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Ci1
tit'
OsincssUtwieNo:
License No:
Ceara
Ptwne: L?
Name:
k OF UN TS X
COST
TOTAL AMOUNT
DESCRIPTION OF WORK
X
$12.00
=
1
FUEL BVRNING APPLIANCE
E el t0 at rase tnan 00
r'
2
FULrL 6URN04 APPLIANCE
am 100 000
X
11500
=
3
UNLISTED APPLIANCE Additional Fee
EQU81 10 Or lace than 400 000
X
$50.00
A
UNLISTED APPLIAN E AOdI<IOnsl Fee
tr+ore than 00,000
X
S1 ,00
5
USED APP IANCe SEC min. AFUE rating)£
r lees Ihen 400 000
X
X50,00
=
6
USED APPLIANCE SEC min, APVE NCA
Moro Mon 400.000
x
i1oo.Do
=
7
BOILFRIRFF IG RATI
1 - 100 BTU
x
$12.00
e
6
E10
BOILERIREFRtGERATION
101 - 5o0M BTU
X
$20.00
-
9
B LERIREFRIGERATION
Sol - 1,000M BTU
X
f 5.00
=
8 ILERfREFRIGERATION
1.001-1,750MBTU
X
$ 500
11
1 B OILE RIPE FRIG ERATION
MWO ittor 1,75014 BTU
X
500.D0
=
12
GA6 LOG. GAS INSERT, G4S FtREDLACE
X
$10.00
=
X
110.00
13
RANGE
X
510.00
=
Is
DRYER
X
15
FUEL BURNING W 7ER HEATER
I&
MISC. FUEL BURNING APPLIANCE
X
$10 DO
T1.00
•
17
GAS PIPING a:cti outlet
16
DUCT SYSTEMS
9)-,
510.00
I
VENTILATINGFANS
20
AIR HANDLER DOES NOT Include ducU
ual b ork Ihen 10000 CFM21
AIR HANDLER DOES NOT Include dud)
Greoter than 10.000 CFLd
22
EVAPORATIVE COOLERS
510.00
a
X
16000
°
23-1
TYPE tHOOD
24
1 TYPE n HOOD
X
IIo.Do
=
25
HEAT PUMP/AIR CONDITIONER
OJ TON '
X
512.00
=
26
AIR CONDITIONER
3-15 TON
X$20.00
2
AIR CONDIT1tN1ER
16.90 TON
X
S 5.00
=
26
AIR CONDITIONER
30.50 TON
%
535 0o
-
29
AIR CONDITIONER
M.;cWq 50TON
%
$W.00
30LPG
STORAGE TANK
x
S1O.OD
=
31
WOOD OR PELLET STOVEANSERT
%
$10.00
32
WOOD STOVE - FREE STANDING
x
(25.00
33
1 REPAIR i ADDITIONS
X
515.00
•
34
VENTILATION SYSTEMS
X
$12.00
=
35
VENTILATION MECHANICAL MAUST
X
512,00
•
36
INCMRATOR- RESIDENCE
X
319.00
07
INCINERATOR - COMMERCIAL
X
$22.00
•
MET1400 OF PAYMENT•Q
a
DATE: -30 -el
SUBTOTAL
O o
533.00
❑CASH Q CHECK ISA ❑ MC
7
PROCESSWG
FEE
EXPIRES:/7
TOTAL PERMIT PRE DUE:
(_ ' Q d
AUTHORIZED SIGNATURE:
If
%MSED M26m)
** TOTAL PAGE -04 **
SEP 30 2005 09:26 344 0355 PAGE.01