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2012, 05-17 Permit App: BLD-2012-0671 Mechanical FixturesER aizeyT T T ._. Community Development N echanic tI Permit Permit Center 11707 E Sprague Ave, Suite 106 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 www.spokaneva!lev.ore.com Application SITE ADDRESS 11 3c).()Li PERMIT NUMBER: PERMIT FEE: ❑ Commercial (Residential Building owner Name: \ ii S Xi 1 li0'A.j't t A) (y\ } MOr:, Phone: ' ,--1tt 2) 4.7f1{ \t,„. Fax l' ?i:4 - t i if Address: h +-1,3 S 'V\ ((t Y , 1 & 1 City 4 s t S State i r Zip 'rY :::i�i `,-2 Contractor ` y Name: Y,.- iii NSW; t1 Phone: Fax: Address: ` City State Zip License No: City Business License No: Contact Name: Phone: DESCRIPTION OF WORK # OF UNITS X COST - TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 X $12.00 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 USEDAPPLIANCE (WSEC min. AFUE rating) Equal to or less than 400,000 X 050.00 6 USED APPLIANCE (WSEC min. AFUE rating) More than 400,000 X $100.00 7 BOILER/REFRIGERATION 1 - 100M BTU X $12.00 8 9 10 BOILER/REFRIGERATION 101 - 500M BTU BOILER/REFRIGERATION 501 - 1,000M BTU BOILER/REFRIGERATION 1,001 - 1,750M BTU X X X $20.00 $25.00 $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 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 $15.00 22 EVAPORATIVE COOLERS X $10.00 23 TYPE I HOOD X $50.00 24 TYPE II HOOD X $10.00 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12.00 26 AIR CONDITIONER 3-15 TON X $20.00 27 AIR CONDITIONER 15-30 TON X $25.00 28 AIR CONDITIONER 30-50 TON X $35.00 29 AIR CONDITIONER More than 50 TON X $60.00 30 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 $12.00 35 VENTILATION MECHANICAL EXHAUST X 012.00 36 INCINERATOR - RESIDENCE 37 INCINERATOR - COMMERCIAL X X $19.00 022.00 METHOD OF PAYMENT: ❑CASH ❑ CHECK ❑ VISA ❑ MC CARD #: AUTHORIZED SIGNATURE: DATE: EXPIRES' SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: REVISED 6/26/05