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2006, 06-26 Permit App: 06002484 Mechanical FixturesPermit Center S iokane 11707 E Sprague Ave, Suite 106 sValley Spokane Valley, WA 99206 ® (509)688-0036 FAX: (509)688-0037 Community Development uww.snokanevallev.ors Mechanical Permit Application ❑ Commercial PERMIT NUMBER: -7t PERMIT FEE: 45`(1 , L ( ❑ Residential SITE ADDRESS: r SS, o n Building Owner 8 Me. C4 ooick.1 d AUTHORIZED Name: Phone: .DS-/,- '1660 Fax: Address:'? City nm State: p Zip: q (10/� I Y i Z i%tib 5siov, 1l v 3,6k 1 61P-' C onactr fj / . -. - tro-, 1,16 ill �n r•.�o✓' l� � i.rliC,�E'.5.: , �-l� :.-. - Name: Phone: �, ` / f _ 3 q �j Fax: v q(_ y 7 T (R (D ( Address: Ci State: Zip:/ lata �� Ln C:(.'.S�- �d � 6�r !/'cr�/�c�¢ ,�, y�%� License No:ryice: City Busine s Lic: - Contact' v. ,1 �` �S Name: Phone: Li� 3 9// DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 ? X $12.00 = / Z 2 FUEL BURNING APPLIANCE More than 100,000 X $15.DD • = 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 Iess 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 = 8 BOILER/REFRIGERATION 101 - 50DM 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 than 1,750M BTU X $60.00 = 12 GAS LOG, GAS INSERT, GAS FIREPLACE X $10.00 = 13 RANGE X $10.00 = 14 DRYER X $10.00 = 15 FUEL BURNING WATER HEATER X $10.00 = 16 MISC. FUEL BURNING APPLIANCE X $10.00 = 17 GAS PIPING (each outlet) X $1.00 = 18 DUCT SYSTEMS X $10.00 = 19 VENTILATING FANS X $10.00 = 20 AIR HANDLER (DOES NOT indude 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 $15.00 = 22 EVAPORATIVE COOLERS X $10.00 = 23 TYPE I HOOD X $50.00 = 24 TYPE I1 HOOD X $10.0D = 25 HEAT PUMP/AIR CONDITIONER 0-3 TON i X $12.00 = 1 2 26 AIR CONDITIONER 3-15 TON X $20.00 = 27 AIR CONDITIONER 15-330 TON X $25.00 = 28 AIR CONDITIONER 30-50 TON X $35.D0 = 29 AIR CONDITIONER More than 5D TON X $60.00 = 3D LPG STORAGE TANK X $10.00 = 31 WOOD OR PELLET STOVE/INSERT X $10.00 = 32 WOOD STOVE - FREE STANDING X $25.00 = 33 REPAIR & ADDITIONS X $15.00 = 34 VENTILATION SYSTEMS X $12.D0 = 35 VENTILATION MECHANICAL EXHAUST X $12.00 = 36 INCINERATOR - RESIDENCE X $19.00 = 37 INCINERATOR - COMMERCIAL X $22.00 = METHOD OF PAYMENT: DCASH 0 CHECK 0 VISA 0 MC CARD #. SUBTOTAL 7 EXPIRES: PROCESSING FEE $35.00 VIN: TOTAL PERMIT FEE DUE: 00 Ki Q, _..- " AUTHORIZED SIGNATURE: REVISED 6n6/05