2005, 04-08 Permit App: 05001110 Water Heater 05/110
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UTY( ta✓ ` 11707 East Sprague Avenue, Suite 106 509-688-0036 -Phone
S ? e Spokane Valley, WA 99206...
92065 0
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Mechanical Permit Application - ':T t. 0 ` n, (�
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ADDR
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MAILING ADDRESS'
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(street) �y (city/state) (.111P)
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MAILING ADDRESS: PHONE#: P
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(street) (city/state) (ZIP)
DESCRIPTION OF WORK i OF UNITS X COST EQUALS AMOUNT
1 FUEL BURNING APPLIANCE -OR<100,000 X 315 ' •
2 FUEL BURNING APPLIANCE >100.000 X $19 •
3 UNLISTED APPLIANCE(ADDITIONAL FEE) •OR<400,000 X 550 -
4 UNLISTED APPLIANCE(ADDITIONAL FEE) >400,000 X $100 •
S USED APPLIANCE(WSEC min.AFU6 rating) -or<400,000 X 550 •
6 USED APPLIANCE(W5EC min.AFUE rating) >400.000 X $100 •
7 BOILER/REFRIGERATION 1•100M BTU X $15
5 BOILER/REFRIGERATION 101•SOOM STU X 52$ •
9 BOILEIVREFRIGERATION 501-1,000M ETU X f39 -
10 BOTLER/RBPRIGERATION 1001•1,750/.{BTU 1 X _ 557 •
11 BOILER/REFRIGERATION •1750M BTU X _ $95 •
12 CAS LOG,GAS INSERT,GAS FIREPLACE - ' _X $10
13 RANGE _ •• X StO
14 DRYER - X $10
•
! (e$-1& - `15 FUEL BURNING WATER HEATER - X $10
•
C -i 16 MISC FUEL BURNING APPL - X 510 -
17 CAS PIPING(ea.Outlet) - X Sl -
18 DUCT SYSTEMS - X $10 -
19 VENTILATING FANS - X $10 • r
20 AIR HANDLER(DOES NOT Inducts ducting) •OR<10,000CFM X $12
21 AIR HANDLER(DOES NOT Include ducting) >10,C00 CFM X S19 •
22 EVAPORATIVE COOLERS - X' 810
23 TYPE 1 HOOD - ' X $50 •
24 TYPE 11 HOOD - X sl0
25 HEAT PUMP/AIR CONDMONER 0-3 TON X $12
24 AIR CONDITIONER 3.15 TON X 520 -
27 AIR CONDRTONER 15.30 TON X $25 -
28 A/R CONDMONER 30.50 TON X 835
29 AIR CONDITIONER .50 TON X $60 •
30 LPC STORAGE TANK - X $10 •
31 WOOD OR PELLET STOVE/INSERT - X 510 •
32 WOOD STOVE•FREE STANDING - X 52.3 -
,
SUBTOTAL:
METHOD OF PAYMENT PLUS PROCESSING PEE $35.00
1/15.4 1'<st is_- TOTAL PERMIT FEE DUE:
❑ CASH 0 CHECK 0 ❑ -. . _.'`''
DATE. _ EXPIRES
BAN KCARD NUMBER: