2003, 12-15 Permit App: BLd-03-03267 Furnace, Piping1L/1L/4VVJ 1.7.14
City of
Spokane Valley
Mechanical, Permit Application Fax # 668-0037
ce7
Project
Address: 1420 S Robin Hood
Owner: Mike Hoyt
Permit
Use:
Phone (daytime contact):
922-1434
Mailing Address 12915 E Alki Ave
(street) lcitylstateL ___�(p)
License: RRHEAA106BW
Contractor: R&R Heating and AC, Inc.
Mailing Address 4019 E Central
Spokane, Wa 99217
()
Phone#: 484-1405
(city/state) (zip)
1
2
3
4
5
6
7
6
9
10
11'
12
13
14
15
18
17
18
19
20
21
22
23
24
25
26
27
28
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30
31
32
Description of Work
Fuel burning appliance - or < 100,000
Fuel burning appliance> 100,000
Unlisted appliance (additional charge) - or < 400,000
Unlisted appliance (additional charge) > 400,000
Used appliance (WSEC's min. AFUE rating) - or < 100,000
Used appliance (WSEC's On. AFUE rating) > 400,000
Boiler/refrigeration 1-100M BTU
Boller/refrigeration 101-500M BTU
Boller/refrigeration 501-1,000M BTU
Boller/refrigeration 1,001-1,750M BTU
Boiler/refrigeration ' + 1.750M BTU
Gas log, gas Insert, gas fireplaoe
Range
Dryer
# of units
Cost
Amount
1
X
15.00
X
19.00
15.00
X
X
X
50.00
100.00
580.00
X
100.00
X
x
15.00
28.00'
X
39.00
X
57.00
X
95.00
_
X
10.00
X
10.00
X
Fuel burning water heater
x
10.00
10.00
Miscellaneous fuel burning appliance
Gas piping, (each outlet)
Duct systems
r -
x
10.00
1
X
1.00
X
Ventilatir9 fans
Air handler (does not include ducting) - or < 10,000 CFM
Air handler (does not include ducting) > 10.000 CFM
Evaporative coolers
Type l hood
X
10.00
10.00-
X
12.00
X
19.00
x
10.00
X
50.00
Type II hood
X
10.00
,,Heatpump/air conditioner 0-3 tons
Air conditioner 3-15 tons
x
Air conditioner 15-30 tons
Air conditioner 30-50 tans
Air conditioner + 50 tons
LPG storage tank
12.00
X ' 20.00
X 25.00
X
35.00
X
80.00
X
10.00
Wood or pellet stove/insert
X
10.00
Wood stove - free standing
X
25.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00_
0.00
0.00
0.00
1,00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
❑ Cash ❑ Check ❑ Visa 0 MasterCard
Faxed permits wit only be accepted with payment of a major credit card
Date: Expires:
Bankcard Number.
Authorized Signature:
DEC 09 2003 12:25
4
Subtotal
16.00
Plus Processing
Fee
35.00
Total Permit Fee
Due
51.00
5094841505 PAGE.01