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2003, 10-29 Permit App: BLD-03-02939 Furnace, PipingStiiikan� ems"°' .#Valley Mechanical Permit Application 11707 East Sprague Avenue, Suite 106 Spokane Valley, WA 99206 509-688-0036- Phone 509-688-0037 - Fax METHOD OF PA 0 CASH 0 PROJECT / /J ADDRESS- At a2-0 _7 inCia)A/4 /J la PERMIT USE: OWNER IA.4 Ir-. % n , A :' i ,Lp Y " L PHONE Contact): ' (Daytime 9 / � l - MAILING ADDRESS: N • Yiv ? Oe M cdoivq (4.v ic-e S(2/1-ivc-//e�� bf4- 990) (street) (city/state) (ZIP) CONTRACTOR: \rt,y} VV), I ' er LICENSE #: MAILING ADDRESS: - • em. G5 4bei.� PHONE k: gni a -2_13,,__s 2 (street) (city/state) (ZIP) METHOD OF PA 0 CASH 0 DATE: /o -0,2 EXPIRES: BANKCARD NUMBER: ,,�,¢� AUTHORIZED SIGNATURE: "/ �/�" /, DESCRIPTION OF WORK - 4 OF UNITS X COST EQUALS AMOUNT 1 FUEL BURNING APPLIANCE • OR < 100,000• X ' 515 2 FUEL BURNING APPLIANCE r > 100,000 1 X 519 - 3 UNLISTED APPLIANCE (ADDITIONAL FEE) •OR < 400,000 X 550 4 UNLISTED APPLIANCE(ADDn-ONAL FEE) >400,000 X 5100 • 5 USED APPLIANCE (WSEC min AFUE rating) • or <400,000 X • 550 • 6 USED APPLIANCE (WSEC min. AFUE rating) > 400000 X 5100 • 7 BOILER/REFRIGERATION 1 - 100M BTU X 515 • 8 BOILER/REFRIGERATION 101 - 500M BTU X 528 - 9 BOILER/REFRIGERATION 501 . 1,000M BTU X $39 • 10 BOILER/REFRIGERATION 1001 . 1,750M BTU X 557 • 11 BOILER/REFRIGERATION +1750M BTU X 595 - 12 GAS LOG, CAS INSERT, GAS FIREPLACE - X 510 - 13 RANGE - X 510 - 14 DRYER - X 510 - 15 FUEL BURNING WATER HEATER MISC FUEL BURNING APPL - - X 510 • 16 - --- -- -_. ... X- ---510- •--- --------- - ___ ;� OASPIPING(ea.Outlet) - - l 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 EVAPORATIVE COOLERS - - X 510 .- 23 TYPE I HOOD - X 550 • 24 TYPE II HOOD - X 510 • 25 HEAT PUMP/AIR CONDRIONER 0-3 TON X 512 • 26 AIR CONDITIONER 3-15 TON X 520 - ' 27 AIRCONDMONER 15-30 TON X 525 • 28 AIRCONDTHONER 30-50 TON X 535 29 AIRCONDITIONER X50 TON X 560 • 30 LPG STORAGE TANK - X 510 • 31 WOOD OR PELLET STOVE/INSERT - X - 510 - 32 WOOD STOVE - FREESTANDING - X 525 • HENT VISA' TCPY n IIIMINIBIO rI ,tksf_ c .. . tlf's.4-.ie•: SUBTOTAL: -,/ o 13 PLUS PROCESSING FEE $35.00. TOTAL PERMIT FEE DUE: j 36, DATE: /o -0,2 EXPIRES: BANKCARD NUMBER: ,,�,¢� AUTHORIZED SIGNATURE: "/ �/�" /,