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2004, 09-17 Permit App: BLD-04-07683 Water Heater orY Otri 01111."\111014041* 11707 East Sprague Avenue,Suite 106 509-688-0036-Phone 3poiie Spokane Valley,WA 99206 509-688-0037-Fax .0001/alley •Mechanical Permit Application PROJECT PERMIT ADDRESS: 30 6 5 .c USE: OWNER: /� PHONE(Daytime Contact): C ^7i lam ! MAILING ADDRESS: G .azo- --/ (street) (city/state) (ZIP) CONTRACTOR/ r ve n _ vi r C a l LICENSE#: 5c_s 9 `( / MAILING ADDRESS: ` c PHONE#: GCg 3) 66 06q/2 ,4'720 e.b/F- D )•R I 47( (street) (city/state) (ZIP) DESCRIPTION OF WORK It OF UNTTS X COST EQUALS AMOUNT 1 FUEL BURNING APPLIANCE =OR<100,000 X $15 = 2 FUEL BURNING APPLIANCE >100,000 X $19 3 UNLISTED APPLIANCE(ADDITIONAL FEE) =OR<400,000 X $50 = 4 UNLISTED APPLIANCE(ADDITIONAL FEE) >400,000 X $100 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 = /4 16 MISC FUEL BURNING APPL. - X $10 = 17 GAS PIPING(ea.Outlet) - X $1 • • 18 DUCF 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: ) e-- METHOD OF PAYMENT PLUS PROCESSING FEE: $35.00 pj TOTAL PERMIT FEE DUE: ❑ CASH El CHECK ❑ ❑ L__ .....:__....i' DATE: 9-1E 7-`1,7 EXPIRES: BANKCARD NUMBER.: AUTI-IORIZED SIGNATURE: