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2003, 07-28 Permit App: BLD-03-02085 Stove1 C^'IpTY c l Jae .,,•• ' lley 11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone Spokane Va11y, I.1!` 99206 509-688-0037 - Fax For Inspections, call 509-688-0054 Mechanical Permit Application PROJECT 2 �(,(( PERMIT ADDRESS: -7 0.(93 e Kae a e 1 ��t ,{ t m tt � �t"l/ USE: S-�-D V�. w. c OWNER /(n ST Q -t t Ch ttip 1i�vl Pi l ,� ZONE (Daytime Contact): C c27 ^gra a MAILING ADI ESS: � � Cb rl e9-03 t-.. Mir, ek , a1Lc wA 9.212 (street) (crate) (7.rn) CONTRACTOR: MAILING ADDRESS: (street) LICENSE 1: PHONE A: (city/state) (ZE') DESCRIPTION OF WORK I J 0 OF UNITS I X I COST EQUALS AMOUNT 1 FUEL BURNING APPLIANCE - OR < 100,000 1 X 515 2 FUEL BURNING APPLIANCE > 100000 9 3 UNLLSTED APPLIANCE (ADDITIONAL FEE) - OR < 400,000 X 51 X 550 4 UNLISTED APPLIANCE (ADDITIONAL FEE) > 400,000 5 USED APPLIANCE (WSEC min. AFUE rating)X 5100 � or <400,000 X 550 6 USED APPLIANCE (WSEC min. AFUE rating) > 400,000 00 7 BOILER/REFRIGERATIONX 51 1-100M BTU X 515 8 JBOILER/REFRIGERATION ' 101- 500M BTU) I 'X I Szs I 9 BOILER/REFRIGERATION 501-1,000M BTU 10 BOILER/REFRIGERATION 1001 X $39 -1,750M BTU X 557 11 BOILER/REFRIGERATION +1750M BTU X 595 12 GAS LOG, GAS INSERT, GAS FIREPLACE — ( X $10 = 11) 13 (RANGE 14 (DRYER 15 f FUEL BURNING WATER HEATER 16 IMISC FUEL BURNINGAPPL. 17 (GAS PIPING (ea. Outlet) 18 I DUCT SYSTEMS J I X I 510 X 1 510 I . 19 (VENTILATING FANS X 1 Sio 1 X I 510 1 X 1 51 1 ' x 1 510 1 20 AIR HANDLER (DOES NOT include ducting) = OR < 10,000CFM X 510 X 512 21 (AIR HANDLER (DOES NOT Include ducting) > 10,000 CFM X 519 22 EVAPORATIVE COOLERS I 510 23 (TYPE I HOOD 24 JTYPE II HOOD 25 HEAT PUMP/AIR CONDITIONER 1 0-3 TON i i X J 512 26 AIR CONDITIONER 3-15 TON I I X 520 X I 550 1 X 1 510 1 27 (AIR CONDITIONER 28 JAIR CONDITIONER 29 JAIR CONDITIONER 15-30 TON 30-50 TON 30 JLPG STORAGE TANK +50 TON' 31 I WOOD OR PELLET STOVE/INSERT 32 I WOOD STOVE - FREE STANDING X I 525 1 X 1 535 1 X 1 560 X I 510 X I 510 X J 525 METHOD OF PAYMENT ❑ CASH ❑ CHECK ❑ DATE: EXPIRES: BANKCARD NUMBER: AUTHORIZED SIGNATURE: SUBTOTAL: /0.00 PLUS PROCESSING FEE: I $35.00 TOTAL PERMIT FEE DUE: