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2005, 08-03 Permit App: 05002675 AC07/26/2005 11:33 City of Spokane Phone: (509) 688-0036; FAX: (509) 688-0037 Valley for Inspections, call (509) 688-0054 Project Address: 19017 E. Michielii Lane 5094841405 RR HEATING Mechanical Permit Application �---7 ;-. Owner: Mailing Address: Contractor: Mailing Address: Dan McIntyre 19017 E. Michielli Lane R & R Heating & NC, Inc. License #: RRHEAA'106BW 4019 E. Central Ave. PAGE 01/01 Community Development Department Building Division 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 Permit Use: Phone (daytime contact): (509) 475-1972 Spokane Valley WA city state Spokane city 99016 zip code Phone#: 484-1405 WA state 99217 zip code Authorized Signature: JUL 26 2005 12:46 5094841405 PRGE.01 Description of Work # units x Cost = Amount 1 Fuel burning appliance equal to or less than 100.000 X 12.00 - 0.00 2 Fuel burning appliance more than 100,000 X 15.00 - 0.00 3 Unlisted appliance (additional charge) equal to or less than 400,000 X 50.00 = 0.00 4 Unlisted appliance (additional charge) more then 400,000 X 100.00 = 0.00 5 Used appliance (WSEC's min. AFUE rating) equal to or less than 400,000 X 50.00 = 0.00 6 Used appliance (WSEC's min. AFUE rating) more than 400,000 X 100.00 = 0:00 7 Boiler/refrigeration 1-100M BTU X 12.00 = 0.00 8 Boiler/refrigeration 101-500M BTU X 20.00 = 0.00 9 Boiler/refrigeration 501-1,000M BTU X 25.00 = 0.00 10 Boller/refrigeration 1,001-1,750M BTU X 35.00 = 0.00 11 Boiler/refrigeration 4:1.750M BTU X 80.00 - 0.00 12 Gas log, gas insert, gas fireplace X 10.00 = 0.00 13 Range X 10.00 = 0.00 14 Dryer X 10.00 = 0.00 15 Fuel burning water heater X 10.00 = 0.00 16 Miscellaneous fuel burning appliance X 10.00 = 0.00 17 Gas piping, (each outlet) X 1.00 = 0.00 18 Duct systems X 10.00 L = 0.00 19 Ventilating fans X 10.00 = 0.00 20 Air handler (does not include ducting) equal to or less than 10,0000 CFM X 12.00 = 0.00 21 Air handler (does not include ducting) Greater than 10,000 CFM X 15.00 = 0.00 22 Evaporative coolers X 10.00 = 0.00 23 Type I hood X 50.00 = 0.00 24 Type 11 hood X 10.00 - 0.00 25 Heat pump/air conditioner 0-3 ton 1 X 12.00 - 12.00 26 Air conditioner 3-15 ton X 20.00 = 0,00 27 Air conditioner 15-30 ton X 25.00 = 0.00 28 Air conditioner 30-50 ton X 35.00 = 0.00 29 Air conditioner more than 50 ton X 60.00 = 0.00 30 LPG storage tank X 10.00 = 0.00 31 Wood or pellet stove/Insert X 10.00 = 0.00 32 Wood stove - free standing X 25.00 = 0.00 33 Repair & additions X 15.00 = 0.00 34 Ventilation systems X 12.00 = 0.00 35 Ventilation mechanical exhaust X 12.00 = 0.00 36 Incinerator - residence X 18.00 = 0.00 37 Incinerator - commercial X 22.00 - 0.00 Method of payment: 0 Cash 0 Check Card #: ON FILE 0 Visa 0 MasterCard Subtotal 12.00 Processing Fee 35.00 Date: Expires: Jun -06 Total Permit Fee Due: 47.00 ci, _ Cr. 'I T Authorized Signature: JUL 26 2005 12:46 5094841405 PRGE.01