2005, 11-22 Permit App: 05004409 Mechanical Fixtures 11/18/2885 09:83 5094848332 RRHEATING PAGE 81
Permit Center
4,,,.„ 11707 E. Sprague Ave., Suite 106
Spokane Spokane Valley,WA 99206
(509)688-0036 FAX: (509)6811-0037 C
°a� w��'sp��kanet ail lev.or��_c�m1 PERMIT NUMBER:
Community Development PERMIT FEE: -/{3
Mechanical Permit Application ❑ Commercial St.Residential
SITE ADDRESS 1104 S. Steen Ct. Spokane Valley, WA 99037 'S29-4. 061' 0-3
Building owner:
Name: Michael Lewis Phcne: 922-2259 Fax:
Address: 1104 S.Steen Ct. City: Spokane Valley State: WA Zip: 99212
Contractor: R& R Heating&A/C, Inc.
Name: Phcne: 484-1405 Fax: 484-8332
Address: 4019 E. Central Ave. City: Spokane State: WA Zip: 99217
License No: RRHEAA`106BW City Business License No:
DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT
1 FUEL BURNING APLIANCE Equal to or I,!ss than 100,000 1 X 12.00 = 12.00
2 FUEL BURNING APLIANCE More tt an 100,000 X 15.00 = 0.00
3 UNLISTED APPLIANCE(Additional Fee) Equal to or less than 400,000 X 50.00 = 0.00
4 UNLISTED APPLIANCE(Additional Fee) More II an 400,000 X 100.00 0.00
5 USED APPLIANCE(WSEC's min.AFUE rating) Equal to or bass than 400,000 X 50.00 = 0.00
6 USED APPLIANCE(WSECs min.AFUE rating) More ti an 400,000 X 100.00 = 0.00
7 BOILER/REFRIGERATION 1-1C OM BTU X 12.00 = 0.00
8 BOILER/REFRIGERATION 101-:00M BTU X 20.00, = 0.00
9 BOILER/REFRIGERATION 501-1,000M BTU X 25.00 = 0.00
10 BOILER/REFRIGERATION 1,001-',750M BTU X 35.00 = 0.00
11 BOILER/REFRIGERATION More than 1,750M BTU X 00.00 = 0.00
12 GAS LOG,GAS INSERT,GAS FIREPLACE X 10.00 = 0.00
13 RANGE X 10.00 = 0.00
14 DRYER X 10.00 = 0.00
15,FUEL DURING WATER HEATER X 10.00 = 0.00
16 MIS.FUELBURNING APPLIANCE X 10.00 = 0.00
17 GAS PIPING (each unit) 1 X 1.0C = 1.00
18 DUCT SYSTEM X 10.00 = 0.00
19 VENTILATING FANS X 10.00 = 0.00
20 AIR HANDLER(DOES NOT include ducting) Equal to or les: than 10,0000 CFM X 12.00 = 0.00
21 AIR HANDLER(DOES NOT include ducting) Greater th. n 10,000 GEM f X 15.00 = I 0.00
22 EVAPORATIVE COOLERS X 10.00 = i 0.00
23 TYPE I HOOD X 50.00 = 0.00
24 TYPE II HOOD X 10.00 = 0.00
25 HEATPUMP/AIR CONDITIONER 0-3 TON X 12.00 = 0.00
26 AIR CONDITIONER 3-'5 TON X 20.00 = 0.00
27 AIR CONDITIONER 15-30 TON X 25.00 = 0.00
28 AIR CONDITIONER 30-30 TON X 35.00 = 0.00
29 AIR CONDITIONER More than 50 TON X 60.00 = 0.00
30 LPG STORAGE TANK X 10.00 = 0.00
31 WOOD OR PELLET STOVE/INSERT X 10.00 = 0.00
32 WOOD STOVE-FREE STANDING X 25.0C = 0.00
33 REPAIR&ADDITIONS X 15.00 = 0.00
34 VENTILATION SYSTEMS X 12.00 = 0.00
35 VENTILATION MECHANICAL EXHAUST X 12.00 = 1 0-00
36 INCINERATOR-RESIDENCE I X 18.00 = 0.00
37 INCINERATOR-COMMERCIAL X 22.00 = 0.00
METHOD OF PAYMENT: /7 ? , / SUBTOTAL 13.00
O CASH ❑ CHECK VISA 0 MC DATE:/ / '4 PROCESSING FEE 35.00
CARD#: ON FILE ,., EXPI ES: 0606 i TOTAL PERMIT FEE DUE: 48.00
4
Authorized Signature: ,'1;-)f' 7 ' I (AJ/D, /r-
J
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