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2003, 05-09 Permit: BD03-386 Insert FALCO UAKULN LhN I tK I tOLYi�J10LJ iuor,ui.0 .,;•=.;...1m r. r.,rc,i APR 06 2003 11:50 FR TO 9289029 P.02/02 Sffc v..-e.-b b...3 --I ..1001rValley 6005 30Co MECHANICAL PERMIT APPLICATION PROJECT 2 {� 6J {� t [ �/vl PERMIT x ADDRESS: �1 �J O ' Si aLLJ0)JJ'1 l�Y I USE: t../-t7vi �C 1-F !J 6/0/710 _ 'OWNER: (1/6141 J /�C6 54/al ,f„ PHONE(Daytime Contact): MAILING ADDRESS: 5-r Yc,` 7 � )117./YL . !ice 61�•l,G 6% __ (street) (ci !state) .(zip) CONTRACT R LICENSE#: % 7WZ& Atitdef etittEA 64-1-aa i(7,301J_ MAILING ADDRESS: PHONE*: • 6067-9,24 -1671( • 93/0 e. S� a ILa6)/4 992.0( I • (street) (city/state) (zip) DESCRIPTION OF MU ,*yawn X COST EOVALS AMOUNT , • 1 FUEL BURNING APPLUWCE =OR-4100,000 -. X $15 - 5 2'FUEL BURNING APPLIANCE 1-100,000 X $19+. _ 3 UNLISTED APPLIANCE(ADDITIONAL FEE) •13R400,000 ' X $50' • - 4 UNLISTED APPLIANCE(ADDITIONAL FEE) 1-400,000 + X 1100 • 5 USED APPLIANCE(WSEC mkt.AFUE rstlng) -0Rr400,000 X $50 •- 8 USED APPUANCE(WSEC min.AFUE rating), >400,000 X ;100 7 8OILER!REFRIGERATION 1-100M BTU X $15 " d BOILER/REFRIGERATION • 101-500M BTU • X • 128!r al • 9 SOLER/REFRIGERATION 501.1,000M BTU _ X $39: . 10i BOILER/REFRIGERATION • 1001-1,750M BTU X $57' 11 BORER/REFRIGERATION +1750M BTU X $95 _ 122 -F-•GAS LOGI GAS INSERT,GAS FIREPLACE ' - X- $10 = _-/QeO 13 RANGE - X $10~ - 14 DRYER - X $10 - i • 15 FUEL BURNING WATER HEATER - _X 510 - -� 16 MISCELLANEOUS FUEL BURNING APPL • - T X S10 R _ 1T GAS PIPING(es,Outlet) -- + X S1 to DUCT SYSTEMS - X $10 • 19 VENTILATING FANS - X $10 0 20 AIR HANDLER(DOES NOT include ducting) =ORC10,000CFM , X $12 i - 21 AIR HANDLER(DOES NOT Include ducting) >10,00oCFM X $19 - 22 EVAPORATIVE COOLERS - X slot , 23 TYPE I HOOD - 1 X _ $50 = 24 TYPE 8 HOOD - X 510,. - 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X ,$12 c 20 AIR CONDMOP ER 3-15 TON X $20 - 27 AIR CONDITIONER 155-30 TON • X $25 - 28 IVR CONDITIONER 30-50 TON X $35 29 AIR CONDITIONER +50TON X $80 - 30 LPG STORAGE TANK -.- -_ X 4101 • -- ... 31 WOOD OR PELLET STOVEIINSERT J $25 - X+ $10 - 32 WOOD STOVE-FREE STANDING - X J • • r 1 i SU8TOTAL •0 CASH O an — PLUS PROCESSING P5-.=PaaTs vat oNLy w ACCaRW aim rAyzB 5-r FEE $35.00 OP AWARD&CREDIT GAD • /� TOTAL PERMIT FEE DAT: S.— [-:C : . D DUE S (56 SAMOAN)NUMSEA P 11 ' • • AVf}iORrzED SIGNATURE: hj L*/'IOL) I„ • ** TOTRL PAGE.02 ** This document originally contained confidential credit card information which was redacted pursuant to RCW 19.255.010 and the original document destroyed pursuant to 505 DAN G52014-030. MAY 06 2003 15:42 15099269029 PAGE.01 '� a ( / /