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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 NOU 18 2005 09:21 5E194848332 PAGE.21