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2003, 12-11 Permit App: BLD-03-03250 Air Handler, Heat Pump12/09/2003 15:53 5094841505 City of Spokane Valley RR HEATING Mechanical Permit Application PAGE 01/01 Fax # 688-0037 Project Address: 1417 N Mamer Permit 6� �� Use: Owner: Welsh & Associates Phone (daytime contact): 755-3155 Mailing Address SAME (street) (city/state) (zip) Contractor: R&R Heating and AC, Inc. License: RRHEAA106BW Mailing Address 4019 E Central Spokane, Wa 99217 Phone#: 484-1405 (street) (city/state) (zip) DescrlpUon of Work # of units Cost = Amount 1 Fuel burning appliance - or < 100,000 X 15.00 = 0.00 2 Fuel burning appliance > 100,000 X 19.00 = 0.00 3 Unlisted appliance (additional charge) - or < 400,000 X 50.00 = 0.00 4 Unlisted appliance (additional charge) > 400,000 X 100.00 = 0.00 5 Used appliance (WSEC's min. AFUE rating) - or < 100,000 X 580.00 = 0.00 6 Used appliance (WSEC's min. AFUE rating) > 400,000 X 100.00 = 0.00 7 Boiler/refrigeratlon 1-100M BTU X 15.00 = 0.00 8 Boiler/refrigeration 101-500M BTU X 28.00 = 0.00 9 Boller/refrigeration 501-1,000M BTU X 39,00 = 0.00 10 Boller/refrigeration 1,001-1,750M BTU X 57.00 0.00 11 Boiler/refrigeration + 1,750M BTU X 95.00 = 0.00 12 Gas log, gas insert, gas fireplace - X 10.00 = 0.00 13 Range - X 10.00 = 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) - or < 10,000 CFM 1 X 12.00 = 12.00 21 Air handler (does not include ducting) > 10,000 CFM X 19.00 = 0.00 22 Evaporative coolers - X 10.00 = 0.00 23 Type 1 hood - X 50.00 = 0.00 24 Type 11 hood - X 10.00 = 0.00 25 Heat pump/air conditioner 0-3 tons 1 X 12.00 = 12.00 26 Air conditioner 3-15 tons X 20.00 = 0.00 27 Air conditioner 15-30 tons X 25.00 = 0.00 28 Air conditioner 30-50 tons X 35.00 = 0.00 29 Alr conditioner + 50 tons X 60.00 = 0.00 30 LPG storage tank - X 10.00 = 0.00 31 Wood or pellet stove/insert - X 10 00 = 0.00 32 Wood stove - free standing - X 25.00 = 0.00 0 Cash oredlt card Subtotal 24.00 • Check 0 Visa 0 MasterCard Fazed permits will only be accepted with payment of a major Date: Expires: Plus Processing Fee 35.00 Total Permit Fee Due 59.00 Bankcard Number: Authorized Signature: DEC 06 2003 15:05 5094841505 PRGE.01