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2005, 02-17 Permit App: 05000505 Furnace, PipingL p. MECHANICAL PERMIT APPLICATION Phone: (509) 688-0036; FAX: (509) 688-0037 For Inspections, CaII (509) 688-0054 Project Address: .3 6 o q I. . 74 2 1 d Owner: M.-.- H N 1 ,0iA 4 Mailing Address: 1-7 1 S S. S . Aei Pm4,•�k 1-)f Contractor: / ' Mail'nq Address: Community Development Department Building Division 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Permit Use: / Phone (Daytime Contact): GIG' - 7 3,S- "7 Oz?ad.el�t l.Ja lRo3`7 Stale Zip Code �� --� License #: Phone #: tate Zip Code AUTHORIZED SIGNATURE: DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 ,4-0.1 opt) X 312.00 = (2-00 2 FUEL BURNING APPLIANCE More than 100,000 X 315.00 = 3 UNLISTED APPLIANCE (Additional Fee) Equal to or less than 400,000 X 350.00 = 4 UNLISTED APPLIANCE (Additional Fee) More than 400,000 X 3100.00 = 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 3100.00 = 7 BOILER/REFRIGERATION 1 - 100M BTU X 312.00 = 8 BOILER/REFRIGERATION 101 - 500M BTU X 320.00 = 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 360.00 = 12 GAS LOG, GAS INSERT, GAS FIREPLACE X 310.00 = 13 RANGE X 510.00 = 14 DRYER X 310.00 = 15 FUEL BURNING WATER HEATER X 310.00 = 16 MISC. FUEL BURNING APPLIANCE X 310.00 = 17 GAS PIPING (each outlet) X $1.00 = 18 DUCT SYSTEMS X $10.00 = 19 VENTILATING FANS X 510.00 = 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 310.00 = 23 TYPE I HOOD X $50.00 = 24 TYPE II HOOD X 310.00 = 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X 312.00 = 26 .AIR CONDITIONER 3-15 TON X 320.00 = 27 AIR CONDITIONER 15-30 TON X 325.00 = 28 AIR CONDITIONER 30-50 TON X 335.00 = 29 AIR CONDITIONER More than 50 TON X 360.00 = 30 LPG STORAGE TANK X 310.00 = 31 WOOD OR PELLET STOVE/INSERT X 310.00 = 32 WOOD STOVE - FREE STANDING X $25.00 = 33 REPAIR & ADDITIONS • X 315.00 = 34 VENTILATION SYSTEMS X 312.00 = 35 VENTILATION MECHANICAL EXHAUST X 312.00 = 36 INCINERATOR - RESIDENCE X 319.00 = 37 INCINERATOR - COMMERCIAL X 322.00 = METHOD OF PAYMENT: ❑ CASH 0 CHECK 0 VISA 0 MC CARD A'•- DATE: SUBTOTAL IR -.00 PROCESSING FEE 335.00 EXPIRES: TOTAL PERMIT FEE DUE: ( '-(/7 • O� \ J AUTHORIZED SIGNATURE: