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2005, 09-30 Permit App: 05003597 Mechanical FixturesrniPermit Center okay E Sprague Ave, Suite 106 jValley Spokane Valley, WA 99206 CommunityDevelopment (509)688-0036 FAX: (509)688-0037 P www.spokanevalley.ore.com • Mechanical Permit Application o Commercial tOI T h Olvil3 R• P�RMT trResidential SITE ADDRESS ir 2-07 sac-J Building owner ..t f r.3 E/t ,, Name: Phone: x FAx Address:a-ZV % L Scar -,777 /G/� A....4, -A....4,-.1-5-- G / 2/,,,,-- "5ty:5A0 14."-c (// lit '5i Contractor. . :_ Zip Name: Sp J 4 t tr- C. A4 4 .,-e % ,)---../72.-4A-1 ,--c phone: 3 2-9/- ?c1-1-.7' _ CO, Fax: 3 _76 Address: Zi City ,SS a/e.4.✓1/4,-- Statep f7�/r� /0 ZI w _ 6,¢! C License No: ,.7P0.A"#4LG.S Fel 4'4 City Business License No: Contact Name: Phone: DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT - 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 / X $12.00 = /2-00 2 FUEL BURNING APPLIANCE More 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 less than 400,000 X $50.00 = 6 USED APPLIANCE (WSEC min. AFUE rating) More than 400,000 X $100.00 = 7 BOILER/REFRIGERATION 1 - 100M BTU X $12.00 = 8 BOILER/REFRIGERATION 101 - 500M BTU X $20.00 = 9 BOILER/REFRIGERATION 501 - 1,000M BTU X $25.00 = 10 BOILER/REFRIGERATION 1,001 - 1,750M BTU X $35.00 = 11 BOILER/REFRIGERATION More than 1,750M BTU X $60.00 = 12 GAS LOG, GAS INSERT, GAS FIREPLACE X $10.00 • = 13 RANGE X $10.00 = 14 DRYER X $10.00 = 15 FUEL BURNING WATER HEATER X $10.00 = 16 MISC. FUEL BURNING APPLIANCE X $10.00 = 17 GAS PIPING (each outlet) X $1.00 = 18 DUCT SYSTEMS X $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 ducting) Greater than 10,000 CFM X $15.00 = 22 EVAPORATIVE COOLERS X $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 = 12.-60 26 AIR CONDITIONER 3-15 TON X $20.00 = 27 AIR CONDITIONER 15-30 TON X $25.00 = 28 AIR CONDITIONER 30-50 TON X $35.00 = 29 AIR CONDITIONER More than 50 TON X $60.00 = 30 LPG STORAGE TANK X $10.00 = 31 WOOD OR PELLET STOVE/INSERT X $10.00 = 32 WOOD STOVE - FREE STANDING X $25.00 = 33 REPAIR & ADDITIONS X $15.00 = 34 VENTILATION SYSTEMS X $12.00 = 35 VENTILATION MECHANICAL EXHAUST X $12.00 = 36 INCINERATOR - RESIDENCE X $19.00 = 37 INCINERATOR - COMMERCIAL X $22.00 = METHOD OF PAYMENT: ❑CASH 0 CHECK 0 VISA 0 MC CARD #: SUBTOTAL 2,y. 00 DATE: PROCESSING FEE $35.00 EXPIRES: TOTAL PERMIT FEE DUE: ,S-5 - QQ AUTHORIZED SIGNATURE: REVISED 8/?6/05