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2005, 07-18 Permit App: 05002417 ValveProject Address: Owner. SIA MECHANICAL PERMIT APPLICATION , Community Development Department Building Division 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 17 Phone: (509) 688-0036; FAX: (509) 688-0037 For Inspections, Call (5Q9) 688.0054 3 ig S c Wee Mail ng Address: 6-2o? S. I rfstav15 Con ractor. f at 67 aWA, r License #: Mailing Address: Permit Use: Phone (Daytime Contact): 999 - 42, on y Ceolverse.- eri#- 79123 Cdy State Zip Code Phone #: CI State Zip 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 $50.0D 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 min. AFUE rating) More than 400,000 X $100.00 = 7 BOILER/REFRIGERATION 1 - 100M BTU X $12.00 = 6 BOILER/REFRIGERATION 101 - 500M BTU X 320.00 = 9 BOILER/REFRIGERATION 501 - 1,000M BTU X $25.00 = 10 BOILER/REFRIGERATION 1,001 • 1,75DM BTU X 335.00 = 11 BOILER/REFRIGERATION More than 1,750M BTU X $60 00 = 12 GAS LOG, GAS INSERT, GAS FIREPLACE X $10 DO = 13 RANGE X $10 DO = 14 DRYER X $10.00 = 15 FUEL BURNING WATER HEATER X 310.00 = 16 MISC. FUEL BURNING APPLIANCE X 310.00 = 17 GAS PIPING (each outlet) - 1 X 31 00 = l -IM 18 DUCT SYSTEMS X 310.00 = 19 VENTILATING FANS X 310.00 = 20 AIR HANDLER (DOES NOT include ducting) Equal to or less than 10,000 CFM X $12 00 = 21 AIR HANDLER (DOES NOT include ducting) Greater than 10,000 CFM X 315.00 = 22 EVAPORATIVE COOLERS X 310.00 = 23 TYPE IHOOD X 35000 = 24 TYPE II HOOD - X $10 DO = 25 HEAT PUMP/AIR CONDITIONER 0-3 TONX 312.00 = 26 AIR CONDITIONER 3-15 TON X 320.00 27 AIR CONDITIONER 15-30 TON X 325.00 = 28 AIR CONDITIONER 30-50 TON X 335.00 = 29 AIR CONDITIONER More than 50 TON X • 360.00 = 30 LPG STORAGE TANK X $10.00 = 31 WOOD OR PELLET STOVE/INSERT X 510.00 = 32 W000 STOVE - FREE STANDING X 325.00 = 33 REPAIR & ADDITIONS X $15.00 = 34 VENTILATION SYSTEMS X 512.00 = 35 VENTILATION MECHANICAL EXHAUST X 512.00 = 36 INCINERATOR -RESIDENCE X $19.00 = 37 INCINERATOR -COMMERCIAL X 322.00 = METHOD OF PAYMENT: O CASH 0 CHECK 0 VISA 0 MC CARD # DATE: SUBTOTAL PROCESSING FEE 535.00 EXPIRES: TOTAL PERMIT FEE DUE: 3 CO • 00 AUTHORIZED SIGNATURE: