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2005, 09-13 Permit App: 05003376 Furnace, ACSpokan�� 11707 E Sprague Ave, Suite 106 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 Community Development www.spokanevallev or. corn Mechanical Permit Application o Commercial Permit Center j\&tIey SITE ADDRESS 75 /2 c y FA iPERMITaNUMBER:t7 aIERMJT FEE' KResidential �:_t?-� ry :Building canerait u -L i, ` `C7-'.=" •:I aFFO'toQe .'2u i3cc?!S:g:3-P 'K -`s_ a;�"_3.-'> kr '`¢:�.s. n,, - Phone: Fax Name:`` ���� /� Address: afen, di PGive.,.� City, At. State G/ zirCeigar aril— :;Cofn[rsco.',r,:cre/Ci:n�h%4- z:,sXT.e_.". i r'.:}2i_.J�•: --fiL$- maid h;N.n, ..... Name: Phone: Fax: Address: City State Zip License No: - .0 L '2 J City Business License No: c8' i:�v{ $ i-. 'tA �"j" :.i r, k. ":.. ]?F'r,•1u 'cf. �7Y+nsy - vm.,-. , ^.; •� ;"'se`KFc 7? {t �t35,4 4' � {; : ; .. `Contac[-. .1a4 �r�V±an��uF?.-'�':'`^ _ __.-_._-�;�va�:t-:i=s�•r�tMa+3ra.ekctv'✓<'.'.`Yi.�'a�i'a. �'!a'..�"...`'.-,==',.::..tj'�f, _�.i�:T+R:•#' s� .. .ici�r3ttr�'�u�?L✓^ _Yo:::a:�r. of _,`: Name: Phone: DESCRIPTION OF WORK OF UNITS x COST = TOTAL AMOUNT 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 $50.00 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 8 BOILER/REFRIGERATION 101 - 500M 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 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 $12.00 36 INCINERATOR — RESIDENCE X $19.00 37 INCINERATOR — COMMERCIAL X $22.00 METHOD O[PAYMENT: [CASH ® CHECK ❑ VISA 0 MC CARD #: /I DATE. EXPIRES' AUTHORIZED SIGNATURE: SUBTOTAL PROCESSING FEE TOTAL PERMIT FEE DUE: $35.00 REVISED 8/26/05