2005, 08-05 Permit App: 05002765 AC08/03/2005 13:29 5094841405 RR HEATING
PAGE 01/01
Mechanical Permit Application <) - 21 �S Community Development Department
City of dt#N 41'2R-, GNU Building Division
Spokane Phone: (509) 688-0036; FAX: (509) 688-0037 11707 E. Sprague Ave., Suite 106
/ Valley for Inspections, call (509) 688-0054 Spokane Valley, WA 99206
Project Address. 14306 E. Main Ave.
Owner: Phil Koestner
Mailing Address: 14306 E. Main Ave.
Permit Use:
Phone (daytime contact): (509) 922-9980
Spokane Valley WA 99216
city state zip code
Contractor: R & R Heating & A/C, Inc. License #: RRHEAA`106BW Phone* 484-1405
Mailing Address: 4019 E. Central Ave.
Spokane
taty
WA
state
99217
re code
utnonzeo Signature:
PUG 03 2005 14:42
5094841405 PAGE.01
Description of Work
# units
x
Cost
=
Amount
1
Fuel burning appliance
equal to or less than 100.000
X
12.00
=
0.00
2
Fuel burning appliance
more than 100,000
X
15 00
=
0.00
3
Unlisted appliance (additional charge)
equal to or less than 400,000
X
50.00
=
0.00
4
Unlisted appliance (additional charge)
more than 400,000
X.
100.00
=
0.00
5
Used appliance (WSECs min. AFUE rating)
equal to or lees than 400,000
X
50.00
=
0.00
8
Used appliance (WSEC's min. AFUE rating)
more than 400,000
X
100.00
=
0.00
7
Boiler/refrigeration
1-100M BTU
X
12.00
=
0.00
8
Boiler/refrigeration
101-500M BTU
X
20.00
=
0.00
9
Boiler/refrigeration
501-1,000M BTU
X
25.00
=
0.00
10
Boiler/refrigeration
1,001-1,750M BTU
X
35.00
=
0.00
11
Boller/refrigeration
+ 1,750M BTU
X
60 00
=
0.00
12
Gas log. gas insert, gas fireplace
X
10 00
=
0,00
13
Range
X
1000
=
0.00
14
Dryer
X
10.00
=
0.00
15
Fuel burning water heater
X
10,00
=
0.00
16
Miscellaneous fuel burning appliance
X
10.00
=
0.00
17
Gas piping, (each outlet)
X
1.00
=
0.00
18
Duct systems
X
10.00
=
0.00
19
Ventilating fans
X
10.00
=
0.00
20
Air handler (does not include ducting)
equal to or less than 10,0000 OEM
X
12.00
=
0.00
21
Air handler (does not include ducting)
Greater 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
Heat pump/air conditioner
0-a ton
1
X
12.00
=
12.00
26
Alr conditioner
3-15 ton
X
20.00
=
0.00
27
Air conditioner
15-30 ton
X
25.00
=
0.00
28
Airconditloner
30-50 ton
X
35.00_
=
0.00
29
Air conditioner
more than 50 ton
X
60.00
=
0.00
30
LPG storage tank
X
10.00
=
0.00
31
Wood or pellet stovefinsert
X
10.00
=
0.00
32
Wood stove - free standing
X
25.00
=
0.00
33
Repair 8 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: D Cash 0 Check ❑
Card #: ON FILE
Visa 0 MasterCard
Subtotal
12.00
Processing Fee.
35.00
Date: 8/3/2005 n Expires:
,lun-06
Total Permit Fee Due:
47.00
tl . r//
/1
utnonzeo Signature:
PUG 03 2005 14:42
5094841405 PAGE.01