2003, Permit: BD03-581 Mechanical Fixture Sarrc. •!�1 `�'Wr1,, 11707 East Sprague Avenue,Suite 106 509-688-0036-Phone
Po ne Spokane Valley,WA 99206 509-688-0037-Fax
.Valley For Inspections, call 509-688-0054
Mechanical Permit Application a p 0-3 - I
PROJECT PERMIT
ADDRESS: 95-2-q S/?� USE:
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MAILING ADDRESS: 1
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MAILING ADDIZESPHONE#:
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(street) (city/state) (ZIP)
DESCRIPTION OF WORK 6 OF UNITS X COST EQUALS AMOUNT
1 FUEL BURNING APPLIANCE -OR<100,000 X $15 - /5.
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2 FUEL BURNING APPLIANCE >100,000 X $19 - J
3 UNLISTED APPLIANCE(ADDITIONAL FEE) -OR<400,000 X $50 -
4 UNLISTED APPLIANCE(ADDITIONAL FEE) >400,000 X 5100 -
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 - X $10 -
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) - X $1 -
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: /5
METHOD OF PAYMENT PLUS PROCESSING FEE: $35.00
Y54` • ;.'- tTOTAL PERMIT FEE DUE: 5-5......e!!!----
0 CASH 0 CHECK ❑ rap= ❑ L_ .:_2"*1
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DATE: EXPIRES:
1:11111
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BANKCARD NUMBER: Of--
AUTHORIZED SIGNATURE: 4 9)1q