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2004, 10-04 Permit App: BLD-04-07829 Mechanical Fixtures o l•t 11707 East Sprague Avenue,Suite 106 509-688-0036-Phone Spokane Spokane Valley,WA 99206 509-688-0037-Fax 4000Valley For Inspections, call 509-688-0054 'Mechanical Permit Application PROJECT PERMIT ADDRESS: O!7^ 514-L7 USE: OWNER 7 jc C delN 7-Ak,At y PHONE(Daytime Contact): 92 Pi_ G -a MAILING ADDRESS: 47440`l1. /. 514'4 76c5& . b) #41(JG.- 1144-1117 4.72/ 6 (street) (city/state) (Z CONTRACTOR: LICENSE#: SMITHHC080R8 SMITH HEATING & COOLING, INC, MAILING ADDRESS: PHONE#: 328-4431 FAX- 328-0749 E. 102 NORA SPOKANE WA 99207 (street) (city/state) (ZIP) DESCRIPTION OF WORK 8 OF UNITS X COST EQUALS AMOUNT 1 FUEL BURNING APPLIANCE -OR<100,000 X $15 - 2 FUEL BURNING APPLIANCE >100,000 X $19 - 3 UNLISTED APPLIANCE(ADDITIONAL FEE) -OR<400,000 X $50 - 4 UNLISTED APPLIANCE(ADDITIONAL FEE) >400,000 X $100 - 5 USED APPLIANCE(WSEC min.AFUE rating) -or<400,000 X $50 - 6 USED APPLIANCE(WSEC min.AFUE rating) >400,000 X $100 - 7 BOILER/REFRIGERATION 1-100M BTU X $15 - 8 BOILER/REFRIGERATION 101-500M BTU X $28 - 9 BOILER/REFRIGERATION 501-1,000M BTU X $39 - 10 BOILER/REFRIGERATION 1001-1,750M BTU X $57 - 11 BOILER/REFRIGERATION +1750M BTU X $95 - 12 GAS LOG,GAS INSERT,GAS FIREPLACE - .S X $10 - a a oC 13 RANGE - X $10 - 14 DRYER - X $10 - 15 FUEL BURNING WATER HEATER - X $10 - 16 MISC.FUEL BURNING APPL. - X $10 - 17 GAS PIPING(ea.Outlet) - r X $1 - j OQ 18 DUCT SYSTEMS - X $10 - 19 VENTILATING FANS - X $10 - 20 AIR HANDLER(DOES NOT include ducting) =OR<10,000CFM X $12 - 21 AIR HANDLER(DOES NOT include ducting) >10,000 CFM X $19 - 22 EVAPORATIVE COOLERS — X $10 • 23 TYPE I HOOD — X $50 - 24 TYPE II HOOD - X $10 - 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12 - 26 AIR CONDITIONER 3-15 TON X $20 - 27 AIR CONDITIONER 15-30 TON X $25 - 28 AIR CONDITIONER 30-50 TON X $35 - 29 AIR CONDITIONER +50 TON X $60 - 30 LPG STORAGE TANK - X $10 - 31 WOOD OR PELLET STOVE/INSERT - X $10 32 WOOD STOVE-FREE STANDING - X $25 - SUBTOTAL: a) O O r METHOD OF PAYMENT PLUS PROCESSING FEE: $35.00 MIMI i- =```';'` TOTAL PERMIT FEE DUE 5 6 dQ 0 CASH in CHECK 0 1.1111MI ❑ -. ..__' - DATE: EXPIRES: BANKCARD NUMBER AUTHORIZED SIGNATURE: