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2009, 11-10 Permit App: 09003645 Insert RECEIVED 11/10/2009 11:49 5096880037 SV PERMIT CENTERFR 11/10/2009 12:42 5099289029 FALCOS PAGE 01/01 A MECHANICAL PERMIT APPLICATION Community Devtflopment .epartrn•=nt *DeBuilding Div,s,on Phone: (509) 688-0038; FAX:(509 PY 11707 E. Sprague Avenue,Suite 106 "ayFor Inspections,Call(509) 68 Spokane Valley,WA 99206 Project Address: I?-•(010 E. Permit Use: uu no d a-rn:-e�-F Owner: 1�� 10 f, Phone(Daytime Contact): 5�Q`01, 3 b • Mailing Address:� � 1� , � p �+�� 0 C �61H W ' ` Mate Zip Cr d Contractor•. -,4- i5S License 1.71 Phone#: 5,ua,,sq f Mailing Address: c/ /P , 5Pj2,140,0E j N-1-t,i,.,G'A`g5-3 DA- of €. v k✓ state u.:it-S!J Zip Co& N 20 DESCRIPTION OF WORK A OF UNITS X COST re TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 X $12.00 = 2 -FUEL BURNING APPLIANCE Moro than 100,000 - X , $15,00 3 UNLISTED APPLIANCE(Additional Fee) Equal to or less than 400,000 X , $50.00 = 4 UNLISTED APPLIANCE(Additional Fee) More than 400,000 _ X $100.00 - 5 USED APPLIANCE(WSEC min.AFUE rating) Equal to or lass than 400,000 X $50.00 - 9 _USED APPLIANCE(WSEC min,AFUE rats p) _ More than 400.000 X $100;00 _ - 7 BOILEPJREFRIGERATION 1•100M ETU X $12,00 = _ 8 „BOILER/REFRIGERATION 101-500M BTU X $20.00 = • 9 BOILER/REFRIGERATION 501.1,000M STU X $25.00 = 10 BOILER/REFRIGERATION 1,001-1,750M BTU X . $35.00 D .. 11 BOILER/REFRIGERATION More than 1,750M BTU X $80.00 .7 , 12 GAS LOG,GAS INSERT,GAS FIREPLACE - X $4408 11^ _ 13 RANGE X $10,00 e 14 DRYER X $10.00 = 15 FUEL BURNING WATER HEATER X $10.00 = _ 10 MISC.FUEL BURNING APPLIANCE T X $10,00 - 17 GAS PIPING(each outlet) - X $1,00 F 18 DUCT SYSTEMSX $10.00 = - 19 VENTILATING FANS _ X $10.00 = 20 AIR HANDLER(DOES NOT Include ducting) Equal to or less than 10,000 CFM X $12.00 = 21 'AIR HANDLER(DOES NOT include duclingi , Greator than 10,000 CFM _ , X $15.00 = 2.2 EVAPORATIVE COOLERSX $10.00 = 23 TYPE I HOOD X $50.00 = - 24 _TYPE II HOOD - X $10.00 . 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12.00 a 28 AIR CONDITIONER 5-1b TON , X $20.00 - 27 AIR CONDITIONER 15-30 TON • x. $25.00 . = 28 ,AIR CONDITIONER 3050 TON _ X ,_ $35.00 = _29 AIR CONDITIONER More than 50 TON X $60.00 _ 3b LPG STORAGE TANIKX $10,00 = 31 WOOD OR PELLET STOVE/INSERT / .. X $40.00 II- = ! ( - . • 32 WOOD STOVE-FREE STANDING _ X $9640 V ° 33 , REPAIR&ADDITIONS X $15.00 e 34 VENTILATION SYSTEMS X _ $12.00 = 35, VENTILATION MECHANICAL EXHAUST X $12.00 38 INCIN5RATOR-RESIDENCE _ X $19.00 37 INCINERATOR-COMMERCIAL X $22.00 = - METHOD OF PAYMENT; �rgYk, SUBTOTAL /1. ©CASH 0 CHECK VISA 0 MC D g[`��"�a PROCESSING FEE '$44 J7.on -CARD ES' TOTAL PERMIT FEE DUE: / U - AUTHORIZED SIG ATURE: � This •ocument originally contained confidential credit card information which • was redacted pursuant to RCW 19.255.010 and the original document destroyed pursuant to SOS DAN G52014-030.