2004, 04-28 Permit App: BLD-04-04224 AC TO'300cl SOSTP8P60S 9t7:ST b00? 8E elect
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City of
Spokane Valley Mechanical Permit Application Fax#688-0037
Project Permit
Address: 18909 E Riverwalk Ln Use:
Owner: Brad McCormick Phone(daytime contact):
927-3383
Mailing Address:SAME
(street) _(city/state) (zip)
Contractor: R&R Heating and AC, Inc. License: RRHEAA106BW
Mailing Address: 4019 E Central Phone#: 484-1405
Spokane,Wa 99217
(street) (city/state) (zip)
Description of Work #of units Cost = 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 Boller/refrigeration 1-100M BTU X 15.00 = 0.00
8 Boiler/refrigeration 101-500M BTU X - 28.00 = 0.00
_ 9 Boder/refrigeration 601-1.000M BTU X 39.00 • 0.00
10 Boiler/refrigeration 1,001-1,760M BTU X 57.00 = 0.00
11 Boller/refrigeration +1,750M BTU X 95.00 • 0.00
12 Gas log,gas Insert gas fireplace - X 10.00 = 0.00
13 Range - X 10.00 =
0.00
14 Dryer - X 10.00 = 0.00
15 Fuel burning water heater - X 10.00 Ir 0.00
16 Miscellaneous fuel burning appliance - X 10.00 - 0.00
17 Gas piping,(each outlets - X 1.00 = 0.00
18 Duct systema - X 10.00 • 9.00
19 Ventilating Fane - X 10.00 = 0.00
20 Air handler(dogs 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 a 0.00
23 Type[hood - , X 50,00 • 0.00
24 Type 11 hood - X 10.00 = 0.00
25 Heat pump/air conditioner 0-3 tons 1 X 12.00 = 12.00
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 storage tank - X 10.00 a 0.00
31 Wood or pellet stovetnsert - X 10.00 = 0.00
32 Wood stove-free standing - X 25_.00 = 0.00
0 Cash 0 Check 0 Visa 0 MasterCard Subtotal
12.00
Fazed permits will only be accepted with payment of a major credit cart Plus Processing
Fee 35.00
Date: Expires: Total Permit Fee
Due 47.00
Bankcard Number.
Authorized Signature!
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