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2003, 08-19 Permit App: BLD-03-02265 Fireplace, PipingSpokciTY t ane .0,1/Talley Mechanical Permit Application 11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone Spokane Valley, WA 99206 509-688-0037 - Fax PROJECT ADDRESS: c�I t D 11 11 g3hQ LO , MTT USE: OWNER C-1 i .FC- John John PHONE (Daytime Contact): ei ca _ 7 5_5_7 MAILING ADDRESS: QrY)-e. COST EQUALS AMOUNT (street) FUEL BURNING APPLIANCE (city/state) (ZIP) CONTRACTOR: rr,U U (n- r ©may.raC ono LICENSE#: __r-1�,/�U E vC * 007NGS MAILING ADDRESS: > 100,000 3 PHONE #: 1O--qif' • (street) UNLISTED APPLIANCE (ADDITIONAL FEE) (city/state) (ZIP) METHOD OF PA 0 CASH , CHECK ❑ ❑ ' `�! ' DATE: EXPIRES: BANKCARD NUMBER: AUTHORIZED SIGNATURE: DESCRIPTION OF WORK 8 OF UNITS X COST EQUALS AMOUNT 1 FUEL BURNING APPLIANCE - OR < 100,000 X 515 - 2 FUEL BURNING APPLIANCE > 100,000 X $19 • 3 UNLISTED APPLIANCE (ADDITIONAL FEE) - OR <400,000 X $50 - 4 UNLISTED APPLIANCE (ADDITIONAL FEE) > 400,000 X 5100 - 5 USED APPLIANCE (WSEC min. AFUE rating) . or < 400,000 X $50 • 6 USED APPLIANCE (WSEC min. AFUE rating) > 400,000 X $100 • 7 BOILER/REFRIGERATION 1 - 100M BTU X $15 - 8 BOILER/REFRIGERATION 101- 500M BTU X $28 • 9 BOILER/REFRIGERATION 501 - 1,000M BTU X $39 .- 10 10 BOILER/REFRIGERATION 1001 - 1,750M BTU X 557 11 BOILER/REFRIGERATION +1750M BTU X $95 - 12 GAS LOG, GAS INSERT, GAS FIREPLACE - X $10 • j 0 13 RANGE - X $10 14 DRYER - X $10 • 15 FUEL BURNING WATER HEATER - X $10 . 16 MISC FUEL BURNING APPL. - X 510 - 17 GAS PIPING (ea. Outlet) - X 51 •j 18 DUCT SYSTEMS - X $10 - 19 VENTILATING FANS - X $10 • 20 AIR HANDLER (DOES NOT include ducting) • OR < 10,000CFM X $12 • 21 AIR HANDLER (DOES NOT include ducting) > 10,000 CFM X $19 • 22 EVAPORATIVE COOLERS - X $10 = 23 TYPE I HOOD - X $50 • 24 TYPE II HOOD - X $10 • 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12 • 26 AIR CONDITIONER 3-15 TON X 520 - 27 AIR CONDITIONER 15-30 TON X $25 • 28 AIR CONDITIONER 30-50 TON X $35 29 AIR CONDITIONER +50 TON X $60 • 30 LPG STORAGE TANK - X 510 • 31 WOOD OR PELLET STOVE/INSERT - X $10 • 32 WOOD STOVE - FREE STANDING - X $25 - HENT VISA • pa�{ SUBTOTAL: I / 00 PLUS PROCESSING FEE: 5.00 /$3/ , 7' 44 TOTAL PERMIT FEE DUE: 0 0 CASH , CHECK ❑ ❑ ' `�! ' DATE: EXPIRES: BANKCARD NUMBER: AUTHORIZED SIGNATURE: