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2008, 09-23 Permit App: 08003767 Mechanical Fixtures AINNIIIIIIIIMMIIIIIIIIIMIN • �s\ Permit Center �+s 11707 E Sprague Ave,Suite 106 (_� Spokane Valley,WA 99206 PERMIT NUMBER -1 `© (509)688-0036 FAX:(509)688-0037 PERMIT FEE: "-i Community Development www.spokanevallev.ors Mechanical Permit Application ❑ Commercial ❑Residential SITE ADDRESS: 1 J i 7 E 1 s p '� C Building Owner 1♦ IL. i NC ,+ L ' "^ Name: Phone: 4 Fax: - Address: ` � rt City: '4/.1' ', State: Zip: 4�, 0 / Contractorr3.0. C- -rtK PA cc10 f'YI,arm,44,- Name: Phone: 42..7-c31696 I Fax: Address: / Li qt.1._ E. e 4 ,..1-1.,,(eta Cit'' +ot l , L+L yet". State: ,, zip a PeL License No: gG HE A/4;1e0 05144r City Business Lic: r Contact .r Name: Phone: '7 to Z i V( c c!/ DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 X $12.00 = -,i64, - v 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 Feel _ 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 BOILERIREFRIGERATION 1,001-1,750M BTU X $35.00 = 11 BOILER/REFRIGERATION More than 1,750M BTU • X $80.00 _ . 12 GAS LOG,GAS INSERT,GAS FIREPLACEX $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 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 TANKX $10.00 = 31 WOOD OR PELLET STOVE/INSERT X , $10.00 = 32 WOOD STOVE-FREE STANDINGX $25.00 = 33 REPAIR&ADDITIONSX $15.00 = 34 VENTILATION SYSTEMS X $12.00 , = 35 VENTILATION MECHANICAL EXHAUSTX $12.00 = 36 INCINERATOR-RESIDENCE X $19.00 = 37 INCINERATOR-COMMERCIAL X $22.00 = , METHOD OF PAYMENT: SUBTOTAL EXPIRES: PROCESSING FEE $35.00 OCASH 0 CHECK ❑VISA ❑MC CARD# 'i!AL ° TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: REVISED 8/26/05