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2010, 10-13 Permit App: 10003352 Mechanical FixturesRECEIVED 10/13/2�0r10 08:59 5096880037 G 10/13/2010 WED 9:06 FAX 509 325 2615 TURM HEATING Permit Center Spokane 11753E Sprague Avo. Sutton -3 C 1try_Y_ Spokane Valley, WA 99206 T dd K� ($O9)658-0036 FAX: (509/051,0037 Commmulity DeVeloptnentv;;Po_k evaA,.0IZ Mechanical Permit Application ❑ Commercial SITE A./1.1RESS: SV PERMIT CENTERFFR001/001 PF RMI7' NUMBER: PERM rrFEE: O li lesidcntial 101/I/AI Address: r91.,t y �, CuhtP,iifit6T /''7�� rlK Maine'rt7/+ ��//� C3z rTr YU j•__ Address: /%../ License No- em O Q r 051 000 OF WORK Stntc G Zip Phone: S'Q 9 . ?.S- 51,S2a Fax. City. � ;6 9. ,�Ja.J aG/,5 cada 7+�- Stete: /4 Zip?9,-4,744 City Business Lie; L0_661(010 D Phone. ,0 9 3,77s-- v-61 s— FUEL BURNING APPLIANCE FUEL BURNING APPLIANCE UNLISTED APPLIANCE (Additional Fee) UNLISTED APPLIANCEddllidnalFee) USED APPLIANCE (WSEC mhi. AFUE ra1in USED APPLIANCEASEC min APUE rat>�) B OILER/REFRIGERATION BOILER/REFRIGERATION BOILERIREFRISERA ON BOILERRREFRIGFEATION BOILER/REFRIGERATION E dal to or foes than 100 000 Moro than 100,000 Equal to or less than 400,000 More than 400,000 Equal to or lees than 400,000 More than d0o 040 _ 1-100M BTU GAS LOG. GAS INSERT GA$ FIREPIACE RANGE DRYER FUEL BURNING WATER HEATER GAS PIPING each outlet DUCT SYSTQMS VENTILATING PANS 500M ETU 501 .1,000M BTU 1 901 - 1 750M BTU More than 7,750M bTU ft OF UNITS TOTAI. AMOUNT A!R HANDL! R (DES NOT Include quoin AIR HANDLER (DOES NOT include dyMind) EVAPORATIVE COOLERS TYPE HOOD TYPE II HOOD HEATPU Equal to or foss than 10than 10 000 CFM Greater than 10,000 CFM IR CONDITIONER AIR CONDITIQj(Eg AIR CONDITIONER AIR CONDITIONER AIR CONDITIONER LPG STORAGE TANK 0-3 TON 4-1$ TON 15.90 TON 30.50 TON Moro than 50 TON WOOD OR PELLET STOVE/fNSERT WOOD STOVE -FREE STANDING REPAIR & ADDITIONS VENTtLAThON SYSTEMS 512.00 515.00 $100,00 050.00 5100,00 512.00 520.00 525,00 535.00 500.00 510.00 510,00 010.00 510,00 510.00 01,00 010.00 510.00 312.00 515.00 010,09 310.00 312.00 020.00 025,00 635,90 360.00 010.00 510.00 525,00 VENTILATION MECHANICAL EXHAUST INCINERATOR -RESIDENCE INCINERATOR - COMMERCIAL METHOD OF PAYMENT; CARD; CAsH❑ CHECK (Et aTE D�I� DACT AUTHORIZED SIGNATURE: t REVISED i/26/01t�fks�r!`tf1')•n1.../ 4„%J(r�t�'I This document originally contained confidential credit card information which was redacted pursuant to RCW 19.255.010 and the original document destroyed pursuant to SOS DAN GS2014-030. 51200 519.00 322.00 PROCESSING FEE TOTAL PERMIT FEE DUE: OPY