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2009, 11-17 Permit App: 09003699 Water Heater, PipingNov 17 09 01:36p RECEIVED 11/17/2009 11:33 5096880037 SV PERMIT CENTERFR Banner Fuel 509 535 8712 p•1 Permit Center E Sprague Ave. Suite 106 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 Community Development www.spokanevalley.org.com Mechanical Permit Application `t, PERMIT NUMBER PERMIT FEE: OPy 1 1Commercial r-571Residential Building owner: Jeff Gibson Name: Phone: 921-2869 Fax: Address: 8905 E. South Riverway City: Spokane Valley state: WA ZIP: 99212 Contractor: Name: Banner Furnace & Fuel Inc. Phone: (509) 535-1711 Fax: 509-344-0356 Address: N. 122 Helena City: Spokane State: WA Zip: 99202 License No.: banneff378nt City Business License No.: Contact: Name: Mike Peck Phone: (509) 535-1711 Fax: 509-344-0355 # of UNITS X COST = Total Amt DESCRIPTION OF WORK 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 X 12.00 = 2 FUEL BURNING APPLIANCE More than 100,000 X 15.00 = S - 3 UNLISTED APPLIANCE (ADDITIONAL CHARGE) Equal to or less than 400,000 X 50.00 = 5 - 4 UNLISTED APPLIANCE (ADDITIONAL CHARGE) More than 400,000 X 100.00 = 5 - 5 USED APPLIANCE (Must meet WSEC's min. AFUE rating) Equal to or less than 400,000 X 50.00 = $ - 6 USED APPLIANCE (Must meet WSEC's min. AFUE rating) More than 400,000 X 100.00 = $ - 7 BOILER 1 REFRIGERATION 1 - 100M BTU X 12.00 = 5 - 8 BOILER / REFRIGERATION 101 - 500M BTU X 20.00 = $ - 9 BOILER 1 REFRIGERATION 501 -1,000M BTU X 25.00 = $ - 10 BOILER / REFRIGERATION 1.001 - 1.75M BTU X 35.00 = $ - 11 BOILER 1 REFRIGERATION More than 1.750M BTU X 60.00 = $ - 12 GAS LOG, GAS INSERT AND / OR GAS FIREPLACE X 10.00 = $ - 13 RANGE X 10.00 = $ - 14 DRYER X 10.00 = $ - 15 FUEL BURNING WATER HEATER 1 X 10.00 = $ 10.00 16 MISCELLANEOUS FUEL BURNING APPLIANCE X 10.00 = $ - 17 GAS PIPING (ea. Outlet) 1 X 1.00 = $ 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 = $ - 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 CHECK X VISA Date: 11/17/2009 i SUBTOTAL: $ 11.00 PROCESSING FEE: $ 35.00 Expires: TOTAL PERMIT FEE DUE: $ 46.00 REDACTE�-iit-- Authorized Signature: 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.