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2008, 10-06 Permit App: 08003966 Mechanical Fixtures
_/��_ Permit Center *Wa�'�'��A„„ 'tea 11703E Sprague Ave,Suite B-3 f_ ane Spokane Valley,WA 99206 PERMIT NUMBER:-:3` (dp (509)688-0036 FAX:(509)688-0037 PERMIT FEE: Community Development permitcentergsookanevalley.org -73 � Mechanical Permit Application J�/���❑ Commercial q�❑ Residential� ti SITE ADDRESS: !�(?. �. � �v <i!vVt , s 9& a r/Ir`//7 , Building Owner Name: ,� Phone: Fax: Address: 7/b - 5. Seel-der/aid City: C�j � /�� State: /.'/ Zip: j�e�2j2 Contractor G dl / t A/.yAL j�� 4� Ql� J�` L y fy // Name: /�pL "''% �'/Phone: 7/ V__ 72v//// Fax: Address: `� ,, Z9� z7 y , '/% p . ��1*,L, /ai / State: �i� _. Zip: ff2/� License No: /Z 4 0- 922 4 1' City Business Lic: vv/� 7 Contact i7i% /O©/ i v 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- 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 = /, Pa 18 DUCT SYSTEMS / X $10.00 = /O.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 = /L 26 AIR CONDITIONER 4-15 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: SUBTOTAL ❑CASH ❑CHECK 0 VISA ❑MC EXPIRES: PROCESSING FEE $35.00 CARD#: VIN: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: REVISED 8/26/05