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2004, 01-12 Permit App: BLD-04-03395 FurnaceSpokane valley Mechanical Permit Application 11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone Spokane Valley, WA 99206 509-688-0037 - Fax For Inspections, call 509-688-0054 PROJECT /1 q/ 7 ! yy/a /� ADDRESS: / !� /'r PERMIT USE: OWNER /9 liceei ' Ac.- JvA' PHONE (Daytime Contact): MAILING ADDRESS. EQUALS AMOUNT 1 (street) • OR < 100,000 (city/state) (ZIP) CONTRACTOR: cleylr ' i LICENSE 1: FUEL BURNING APPLIANCE MAILING ADDRESS: X PHONE #: • 3 (street) • OR < 400,000 (city/state) (ZIP) METHOD OF PA ❑ CASH ❑ C DATE- EXPIRES. BANKCARD NUMBER AUTHORIZED SIGNATURE: DESCRIPTION OF WORK 1 OF UNITS X COST EQUALS AMOUNT 1 FUEL BURNING APPLIANCE • OR < 100,000 X 515 • i 2 FUEL BURNING APPLIANCE > 100,000 X 519 • 3 UNLISTED APPLIANCE (ADDITIONAL FEE) • OR < 400,000 X 550 • 4 UNLISTED APPLIANCE (ADDITIONAL FEE) > 400,000 X 5100 • 5 USED APPLIANCE (WSEC min AFUE rating) • or <400,000 X 550 - 6 USED APPLIANCE (WSEC min AFUE rating) >400,000 X 5100 • 7 BOILER/REFRIGERATION 1 - 100M BTU X 515 • 8 BOILER/REFRIGERATION 101. 500M BTU X $28 • 9 BOILER/REFRIGERATION 501- 1,000M BTU X $39 • 10 BOILER/REFRIGERATION 1001- 1,750.M BTU X 557 • 11 BOILER/REFRIGERATION +1750M BTU X 595 • 12 GAS LOG, CAS INSERT, CAS FIREPLACE - X 510 • 13 RANGE - X 510 • 14 DRYER - X $10 - 15 FUEL BURNING WATER HEATER - X 510 • 16 MISC FUEL BURNING APPL. - X 510 - 17 GAS PIPING (ea Outlet) - X 51 • 18 DUCT SYSTEMS - - X 510 • 19 VENTILATING FANS - X 510 - 20 AIR HANDLER (DOES NOT include ducting) • OR < 10,000CFM X 512 • 21 AIR HANDLER (DOES NOT include ducting) > 10,000 CFM X 519 • 22 EVAPORATNE COOLERS - X 510 - 23 TYPE I HOOD _ X 550 • 24 TYPEI HOOD - X 510 • 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X 512 • 26 AIR CONDMONER 3-15 TON X 520 - 27 AIR CONDITIONER 15-30 TON X $25 • 28 AIRCONDITIONER 30-50 TON X 535 • 29 AIRCONDVHONER +50 TON X 560 • 30 LPC STORAGE TANK - X 510 • 31 WOOD OR PELLET STOVE/INSERT - X 510 - 32 WOOD STOVE - FREESTANDING - X 525 • HENT __ __ - —.VISA — r_,�i . i s �.. SUBTOTAL: PLUS PROCESSING FEE: $35.00 TOTAL PERMIT FEE DUE: DATE- EXPIRES. BANKCARD NUMBER AUTHORIZED SIGNATURE: