2005, 04-19 Permit App: 05001215 Mechanical Fixtures04/18/2005 08:26 5094841405
City of
Spokane Valley
Project Address'
Owner:
Mailing Address:
Contractor:
Mailing Address:
8209 E. Nora Ave.
John Stone
8209 E. Nora Ave.
(street)
R&R Heating and AC, Inc.
4019 E Central
RR HEATING
Mettbani&al Permit Application
Permit Use:
Phone (daytime contact):
Spokane Valley
(city/state)
License#: RRHEAA*106BW
Spokane
Phone*:
WA
State
PAGE 01/01
Fax if 688-0037
oS- ► 2 i5"
926-1983
99212
(zip)
484-1405
99217
Zip Code
•
[tankard Number: On File
Authorized Signature:
APR 18 2005 09:34
5094841405
PAGE.01
(street)
Description of Work
- -,
If of units
Cost
=
Tota! Amount
1
Fuel burning appliance
- or < 100,000
1
X
12.00
=
12.00
2
Fuel burning appliance
> 100,000
X
15.00
0.00
3
Unlisted appliance (additional charge)
- or < 400,000
X
50.00
n
0.00
4
Unlisted appliance (additional charge)
> 400,000
X
100.00
=
0.00
5
Used appliance (WSEC's min. AFUE rating)
= to or <400,00
X
50.00
=
0.00
6
Used appliance (WSEC's min. AFUE rating)
> 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-t,000M BTU
X
25.00
=
0.00
10
Boiler/refrigeration
1,001-1,750M BTU
X
35.00
=
0.00
11
Boiler/refrigeration
+ 1,750M BTU
X
60.00
=
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
=
0.00
19
Ventilating fans
-
X
10.00
=
0.00
20
Air handler (does not include ducting)
- or < 10,000 CFM
X
12.00
=
0.00
21
Air handler (does not include ducting)
> 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 II hood
-
X
10.00
=
0.00
25
Heat conditioner
0-3 tons
1
X
12.00
=
12.00
26
pump/air
Air conditioner
3-15 tons
X
20.00
=
0.00
27
Air conditioner
15-30 tons
X
25.00
=
0.00
28
Air conditioner
30-50 tons
X
35.00
=
0.00
29
Air conditioner
+ 50 tons
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
REPAIRS &B 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
19.00
=
0.00
37
INCINERATOR - COMMERCIAL
X
22.00
=
0.00
_
0
Cash 0 Check M Visa 0 MasterCard
Faxed permits will only be accepted with payment of a major credit card
_.. U.- C A1C Fxnirac• Os/OB
SUBTOTAL
24 00
PROCESSING FEE
35.00
TOTAL PERMIT FEE DUE:
59.00
•
[tankard Number: On File
Authorized Signature:
APR 18 2005 09:34
5094841405
PAGE.01