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2005, 02-01 Permit App: 05000293 Propane Tank, Pipingane MECHANICAL PERMIT APPLICATION Phone: (509) 688-0036; FAX: (509) 688-0037 For Inspections, Call (509) 688-0054 Community Development Department Building Division 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Protect Address- G:2) N. yYlc17or1a la SpoKo+,e Um/{ay LA) A Permit Use: Owner: / arnnl Swnall Phone (Daytime Contact) Sag -927-6 5811 Mail rig Address C.,2 / N Con ractor Prrer'i Ca3 Mail ng Address. 3924 E drop nr\ala SpoKone \IaiLay L)A 99207 I City / slate Z,G Coae /�License#: {AVYIgRIQLO 5SLL Phone# So, -53S- `/7.22 1-1V 4; SpoKet e WA 9 920.2 fm State 2,p Code AUTHORIZED SIGNATURE DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100.000 X $12 00 = 2 FUEL BURNING APPLIANCE More than 100.000 X $15 00 = 3 UNLISTED APPLIANCE (Additional Fee) Equal to or less than 400.000 X $50 00 = 4 UNLISTED APPLIANCE (Additional Fee) More than 400,000 X $100 00 = 5 USED APPLIANCE (WSEC min, AFUE rating) Equal to or less than 400,000 X $50 00 = 6 USED APPLIANCE (WSEC mm AFUE rating) More than 400,000 X $10000 = 7 BOILER/REFRIGERATION 1 - 100M BTU X $12 00 = 8 BOILER/REFRIGERATION 101 - 500M BTU X $20 00 = 9 BOILER/REFRIGERATION 501 - 1.000M BTU X $25 00 = 10 BOILER/REFRIGERATION 1,001 - 1,750M BTU X $35 00 = 11 BOILER/REFRIGERATION More Nan 1.750M BTU X $60 00 = 12 GAS LOG, GAS INSERT, GAS FIREPLACE X $10 00 = 13 RANGE X $1000 = 14 DRYER X $1000 15 FUEL BURNING WATER HEATER X $10 00 16 MISC FUEL BURNING APPLIANCE X $1000 17 GAS PIPING (each outlet) X $1.00 = 18 DUCT SYSTEMS X $1000 = 19 VENTILATING FANS X $10 00 = 20 AIR HANDLER (DOES NOT meude ducting) Equal to or less Nan 10.000 CFM X $12 00 21 AIR HANDLER (DOES NOT include ducting) Greater than 10,000 CFM X $15 00 = 22 EVAPORATIVE COOLERS X $1000 = 23 TYPE I HOOD X $50.00 = 24 TYPE II HOOD X $10 00 = 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12 0D 26 AIR CONDITIONER 3-15 TON X $20 00 = 27 AIR CONDITIONER 15-30 TON X $25 00 = 28 AIR CONDITIONER 3050 TON 1 X $35 00 = 29 AIR CONDITIONER More than 50 TON 1G P.)X $6000 30 LPG STORAGE TANK S.JAf I X $10 00 = 31 WOOD OR PELLET STOVE/INSERT X $10 00 = 32 WOOD STOVE - FREE STANDING X $25 00 = 33 REPAIR & ADDITIONS - X 115.00 = 34 VENTILATION SYSTEMS X $12.00 35 VENTILATION MECHANICAL EXHAUST X $12.00 36 INCINERATOR -RESIDENCE X $19.00 = 37 INCINERATOR - COMMERCIAL X $22.00 = METHOD OF PAYMENT. l] CASH Yr CHECK ❑ VISA ❑ MC r.4Rn a SUBTOTAL DATE PROCESSING FEE $35 00 EXPIRES TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE