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2007, 04-10 Permit App: 07001197 Mechanical Fixtures04/10/2007 10:20 FAX 5093252615 .000116 Community Development Mechanical Permit Application Permit Center 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 www. spokanevallev.ort Sturm neat -tag ❑ Commercial PERMIT NUMBER: 140 r PERMIT FEE: esidential SITE ADDRESS: NY\ o :1 5 . Y'QVt - 414101'Dwnet a 1 Name: `C.-.1 6 CZ:). t..... S Phone: Fax: Address: ��n� S s City: ., te:Stat >, Zip 0 ,az 4 o$t10ufp r 4 Name: S - i\:N. -,c-t', I-vc_-S-tlt... Phone: 5r9,-7- �rl Fax: ,_ Q:S-c�(sy I� Address: \ \ \ t . e_\�G A ` City: , V_ ri ry State: �D Zip' 9''.ic ci,C1 1 \\ ' -_ I .-. City Busines Lic: -<., -rL`♦ /Lnice.nAse1No: Name:- ,____.,.......D% xis --1 V% A Phone: _ L DESCRIPTION OF WORK *OF UNITS X COST = TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100 000 \. X $12.00 = t a ,nD 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 X $10.00 = 14 DRYER X $10.00 = 15 FUEL BURNING WATER HEATER X $10.00 = 16 MISC. FUEL BURNING APPLIANCE X $10.00 = 17 GAS PIPING (each outlet) X $1.00 = _1_8 . DUCT SYSTEMS X $10.00 = 19 VENTILATING FANS X $10.00 = 20 AIR HANDLER (DOES NOT Include ducting) Equal to or less then 10 000 CFM X $12.00 = 21 AIR HANDLER (DOES NOT include ductin, 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 X $12.00 = 26 AIR CONDITIONER 4-15 TON X $20.00 = 27 AIR CONDITIONER 15-30 TON X $25.00 28 AIR CONDITIONER 30-50 TON X $35.00 = 23 AIR CONDITIONER More than 50 TON X $00.00 = 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 IL ADDITIONS X $15.00 = 34 VENTILATION SYSTEMS X $12.00 - 35 _ VENTILATION MECHANICAL EXHAUST X $12.00 = 36 INCINERATOR -RESIDENCE X 519.00 = = 37 INCINERATOR -COMMERCIAL * X $22.00 METHOD OF PAYMENT: J SUBTOTAL ❑CASH 0 CHECK ISA ❑ MC `-" EXPIRES: PROCESSING FEE $35.00 CARD #, .......,VIN: TOTAL PERMIT FEE DUE: 141 , Ci, AU 1 ED SIGNATUIt '., r l ✓tom c _ REVISEEDD VMT 8/1G'OS APR 10 200? 10:19 5093252615 PAGE.01