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2005, 07-22 Permit App: 05002495 AC 06/28/2005 13:24 5094841405 RR HEATING PAGE 01 Mechanical Permit Application Community Development Department Building Division City ofA 11707 E. Sprague Ave., Suite 106 Spokane Phone: (509) 688-0036; FAX: (509)688-0037 . / � Spokane Valley,WA 99206 Valley for Inspections,call (509)888-0054 �S - 2`A I J c.. �,�-' Permit Use: Project Address: 1920 N. Salmon River Lane �l. Owner: Mike Poulin -Phone(daytime contact): 922-2203 Valley,WA 99016 Mailing Address: 1920 N. Salmon River Lane Spokanecity state zit)code Contractor: R&R Heating License#: RRHEAA108BW Phone#: 484-1405 Mailing Address: 4019 E. Central Ave., Spokane, WA 99217 Gtr state zlo code Description of Work • it of units x Cost = Amount equal to or less than 100,000 X 12.00 = 0.00 1 Fuel burning applianceX 15.00 = 0.00 2 Fuel buminjappliance more then 100,000 equal to or less than 400,000 X 50.00 = 0.00 3 Unlisted appliance(additional charge) � X 100 00 0.00 4 Unlisted appliance(additional charge) more than 400,000 X 50.00 = 0.00 5 Used appliance(WSEC's min.AFUE rating) equal to or less than 400,000 more then 400,000 X 100.00 = , 0.00, 8 Used appliance(WSEC's min.AFUE rating) 0.00 7 Boiler/refrigeration 1-100M BTU X 12.00 = 8 Boiler/refrigeration _ 101-500M BTu X 20.00 = 0.00 9 Boiler/refrigeration 501-1,000M BTU X 25,00 = 0.00 ,. 10 Boilerlrefrlgeration 1,001-1,750M BTU X 35.00 = 0.00 11 Boller/refrigeration 1,750M 1750M BTU X 60.00 = 0.00 0.00 12 Gas log,gas insert,gas fireplace X 10.00 = X 10.00 = 0.00 X 10.00 = 13 Range 0.00 14 Dryer 0.00 = 15 Fuel burning water heater . X 10.00 fiance X 10.00 = 0.00 16 Miscellaneous fuel burning app 0,00 17 Gas piping,(each outlet) X 1.00 = X 10.00 = 0.00 18 Duct systems , X 10.00 = 0.00 19 Ventilating fans 0.00 20 Air handler(does not include ducting) equal to or less than 10,0000 CFM X 12.00 = 21 Air handler(does not include ducting) Greater than 10,000 CFM X 15.00 = 0.00 22 Evaporative coolers _ X 10.00 = 0.00 ' 23 Type I hood X 50.00 = 0.00 24 Type II hood • X 10.00 = 0.0012.00 25 Heat pump/air conditioner 0-3 ton 1 X 12.00 = 26 Air conditioner 3-15 ton X 20.00 = 0.00 27 Air conditioner 15-30 ton X 25.00 = 0.00 28 Air conditioner 30-50 ton X 35.00 = 0.00 X 60.00 = 0.00 29 Air conditioner more than 50 ton , X 10.00 = 0.00 30 LPG storage tank X 10.00 0.00 31 Wood or pellet stov&ineert 5.00 = 0.00 32 Wood stove-free standing X X 2 215.00 = 0.00 33 Repair&additions X 15.00 =- 0.00 34 Ventilation systems X 12.00 0.00 35 Ventilation mechanical exhaust X 18.00 = 0.00 36 Incinerator-residence X 22.00 = 0.00 37 incinerator-commercial Method of payment: 0 Cash 0 Check 0 Visa 0 MasterCard Subtotal 12.00 Card#: ON FILE Processing Fee 35.00 Date: 8/28/2005 Expires: Jun-06 Total Permit Fee Due: 47.00 Authorized Signature: JUN 28 2005 14:36 5094841405 PAGE.01