2007, 11-15 Permit App: 07004547 Insert, Piping11/lb/Lbb! Ot:177.4I(ODU
Permit Center
;olcane � 11707 Arc, Suite 106
Spokane
Valley.
WA 99206
(509)688-0036 PAX: (509)688.0037
Community Development www.spokanevaller.ore
A'iccilanical Permit Application r3 Commercial Residential
PE7RM1T NUMBERC/l
PERMIT FEE:
sTrE ADRESS: £ , 77/ - Sc t -A A'v - u1 -
O.dldlr.g ()her
Name: , + / j1 .►
Phonc: C/ � /. ) / 3 3
C [
Fax:
Address:
Contractor
'
Name:„..122.7 II1�n fr,
Phone: -- /00
Fax: roc,- •- 1(6,- OAF?
Addr> ss814�y ---4--- N Il f fiI OPT
.�74.
Com: , C7 ..-
State: w/7' zip: / !fp.t9
License No:
/et'
Cn u NTS r"o2,r___Le.../...
City Business Lir.
Connect
Name: in ,
Phone jQ q- iffrk- F(oo
So9- ?g•-•-'786 o
DESCRIPTION OF WOR!(
a OF UNITS
COST
TOTAL AMOUNT
FUEL BURNING APPLIANCE
Equal to or less than 100 000
$12.00
DUEL BURNING APPLIANCE
UNLISTED APPLIANCE (Additional Fee)
More Cron 100,000
$15.00
Equal to or less than 400 000
x
$50.00
4
UNLISTED,APPUAMCE (Addlt{ortsl Fee)
Mote than 400.000
$100.00
s
tI/SED APPLIANCi
(WSEC mitt. AFtlE renng)
USED APPUANCESWSEC min, AFUE rotlnp)
equet to or teas men 400,000
$00.00
More Chan 400 000
5100.00
7
BOILER/REFRIGERATION
1 - 100M BTU
512.00
801 LER/ REFRIGERA 1 ION
101-SOOM BTU
$20.00
9
10
11
BOILER/REFRIGERATION
501 -1,000M BTU
X
525.00
BOILER/REFRIGERATION
1 001 - 1.750M BTU
BOILER/REFRIGERATION
More than 1,750M BTU
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X 535.00
x 560.00
X 510.00
11
RANGE
610.00
14
DRYER
x
510.00
16
FI,UEL BURNING WATER HEATER
1 510.00
18
MISC. FUEL BURNING APPLIANCE
x
510.00
17
GAS PIPING (eedl outlet)
X
$1.00
t9
19
20
DUCT SYSTEMS
VENTILATING FANS
AIR HANDLER (DOES NOT Inciuoo dulling)
Equal to or less than 10,000 CFM
51nnn
110.00
$12.00
a1
AIR HANOLSR (DOCS NOT Indudo ducting)
Cnwner than 10,000 CfM
$1 :.00
22
EVAPORATIVE COOLERS
X 1510.00
23
nrE 11•IO44
I moo
24
1TPtIIH000
510.00
25
HEAT PUMP/AIR CONOtTIONER
0-3 TON
512.00
28
AIR CONDITIONER
3.15 TON
X
520.00
27
AIR CONDITIONER
15.30 TON
x
526.00
28
AIR CONDITIONER
30-50 TON
$35.00
20
AIR CONDITIONER
Mn,. them SA TON
x
SRn nn
30
LPG STORAGE TANK
X
510.00
31
Y(1000 OR PELLET STOVE/INSERT
510.00
32
WOOD STOVE - FREE STANDING
525.00
33
REPAIR IL ADDmoNs
X
$15.1.10
34
VENTILATION SYSTEMS
x
1 512.00
35
3E
VENTILATION MECHANICAL S XHAOST
x
$12.00
a
INCINERATOR -RESIDENCE
I moo
E
37
INCINERATOR -COMMERCIAL
MCTHCO OF PAYMENT.
[]CASH 0 CHECK 0 VISA MC
t ARO #:. REDACTED
AUTHORIZED alur' AL ulcr:
REv1CP.D 82605
NOU 14 2007 09:52
EXPIRES: D2je,
This document • riginally 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.
X 524.00
8U8TOTAL F
//
PROCESSING FEE
135,00
TOTAL PERIwfT FEE-IDUE:
5099277800
PAGE.01
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