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2007, 09-18 Permit App: 07003715 Mechanical Fixtures Permit Center S0ka„e 11703E Sprague Ave,Suite B-3 PERMIT NUMBER: riAcll�' Spokane Valley,WA 99206 jValley` (509)688-0036 FAX:(509)688-0037 PERMIT FEE: Community Development www.spokanevalley.org Mechanical Permit Application ❑ Commercial K Residential SITE ADDRESS: S 1 0 'V r E w. co P n Building Owner .8 c L f Name: IP e. 0 Phone:C ( C ) Fax: Address: 5 I 0) til. K e 11C City. K%)t%E' ll)/l�' State: ( id Zip: fi-/),1/6 Contractor �f Name: Phone: Fax: Address: City: State: Zip: License No: City Business Lic: 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 = 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 1 X $10.00 = I O 14 DRYER 4 X $10.00 = I C 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 = �J 19 VENTILATING FANS '1 X $10.00 = /G 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 J X $12.00 = / , 26 AIR CONDITIONER 4-15 TON / X $20.00 = at) 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 F c p o By X $12.00 = 36 INCINERATOR-RESIDENCE CITY OF SPOKANE VALLEY., X $19.00 = 37 INCINERATOR-COMMERCIAL X $22.00 = METHOD OF PAYMENT: EXP EEE r1_ 8 2QQ7 SUBTOTAL ❑CASH CHECK CI VISA I=1 MC t U f PROCESSING FEE $35.00 CARD#: PERMIT CENTEP TOTAL PERMIT FEE DUE: 44k1-„2. AUTHORIZED SIGNATURE: BY: - REVISED 8/26/05