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2004, 02-03 Permit App: BLD-04-03506 Mechanical Fixtures 02/03/2004 11:4'J 7b7gecilo o RR n,.. ,,. . ..-- - -- City of 350 Spokane Valley Mechanical Permit Application Fax#688-0037 Project Permit Address: 4820 N Keller Use: Owner: Tim Wick Phone(daytime contact): 922-7804 Mailing Address SAME (street) (city/state) (zip) Contractor. R&R Heating and AC, Inc. License: RRHEAA106BW Mailing Address 4019 E Central 'Monett: 484-1405 Spokane, Wa 99217 (street) (city/state) (zip) Description of Work #of units Coat = Amount 1 Fuel burning appliance -or< 100,000 X 15.00 = 0.00 2 Fuel burning appliance > 100,000 X 19.00 = 0.00 3 Unlisted appliance(additional charge) -or<400,000 X 50.00 = 0.00 4 Unlisted appliance(additional charge) >400,000 X 100.00 = 0.00 5 Used appliance(WSEC's min. AFUE rating) , -or< 100,000 X 580.00 = 0.00 6 Used appliance(WSEC's min. AFUE rating) >400,000 . X 100.00 = 0.00 7 Boiler/refrigeration 1-100M BTU X , 15.00 = 0.00 • 8 Boller/refrigeration 101-500M BTU X 28.00 = 0.00 9 Boiler/refrigeration 501-1,000M BTU X 39.00, = 0.00 10 Baler/refrigeration 1,001-1,750M BTU X 57.0 = 0.00 11 Boiler/refrigeration + 1,750M BTU X 95.00 = 0.00 12 Gas log, gas insert, gas fireplace - 1 X 10.00 = , 10.00 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) - 1 X 1.00 a 1.00 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 19.00 = 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 pump/air conditioner 0-3 tons X 12.00 = 0.00 26 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 storaze 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 0 Cash 0 Check 0 Vise 0 MasterCard Subtotal 11.00 Faxed permits will only be accepted with payment of a major credit card Plus Processing Fee 35.00 Date: Expires: Total Permit Fee Due 46.00 Bankcard Number: Authorized Signature: JAN 31 2004 11 04 5094841505 PAGE.01