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2003, 08-04 Permit App: BLD-03-02133 Water Heater
Stlaa� ,0,00Valley Mechanical Permit Application 11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone Spokane Valley, WA 39206 509-688-0037 - Fax PROJECT ADDRESS: i 2 )/ C( £ f, /i r f.7 �, 'OUSE, PERMIT #OFUNITS OWNER: 'C B `si g !?) - /� b COST PHONE (Daytime Contact): 2 e..,„„c©9,7 MAILING ADDRESS: ---67...-2-2,1--t--- 1 / 9‘4 Z ((U (street) (city/state) (ZIP) CONTRACTOR/ r - LICE SE #: � ` $G� , _._g `'1..., 0- (en J ii_i fL MAILING ADDRESS: !J ,6' 2O 1442&64294 7)1?-- e PHONE #: _2-.23 ^23 `611:06r .11 lq- r? ?,re /47( (stxeet) (city/state) UNLISTED APPLIANtE (ADDITIONAL FEE) (ZIP) METHOD OF PAY ❑ CASH �, C DATE: EXPIRES: BANKCARD NUMBER. AUTHORIZED SIGNATURE: DESCRIPTION OF WORK #OFUNITS X COST EQUALS AMOUNT 1 FUEL BURNING APPLIANCE - OR < 100,000 X 515 - 2 FUEL BURNING APPLIANCE > 100,000 X 519 - 3 UNLISTED APPLIANtE (ADDITIONAL FEE) -OR<400,000 X 550 - 4 UNLISTED APPLIANCE (ADDITIONAL FEE) > 400,000 X 5100 -. 5 USED APPLIANCE (WSEC min. AFUE rating) - or < 400,000 X 550 - 6 USED APPLIANCE (WSEC min. AFUE rating) > 400,000 X 5100 - 7 BOILER/REFRIGERATION 1 -100M BTU X 515 - 8 BOILER/REFRIGERATION 101 - 500M BTU X $28 - 9 BOILER/REFRIGERATION 501 - 1,000M BTU X 539 - 10 BOILER/REFRIGERATION 1001 - 1,750M BTU X 557 - 11 BOILER/REFRIGERATION +1750M BTU X 595 - 12 GAS LOG, GAS INSERT, GAS FIREPLACE - X $10 - 13 RANGE - X 510 - 14 DRYER - X 510 - 15 FUEL BURNING WATER HEATER - X 510 - w 16 MISC FUEL BURNING APPL. - X 510 - 17 GAS PIPING (ea. Outlet) - X 51 - 18 DUCT SYSTEMS - X 510 - 19 VENTILATING FANS - X 510 - 20 AIR HANDLER (DOES NOT include ducting) - OR < 10,000CFM X 512 - 21 AIR HANDLER (DOES NOT include ducting) > 10,000 CFM X 519 - 22 EVAPORATIVE COOLERS - X 510 - 23 TYPE I HOOD - X 550 - 24 TYPE II HOOD - - X 510 - 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X 512 - 26 AIR CONDITIONER 3-15 TON X 520 - 27 AIR CONDITIONER 15-30 TON X 525 - 28 AIR CONDITIONER 30-50 TON X 535 - 29 AIR CONDITIONER +50 TON X $60 ' - 30 LPG STORAGE TANK - X $10 - 31 WOOD OR PELLETSTOVE/INSERT - X 510 - 32 WOOD STOVE - FREE STANDING - X 525 - KENT • V.-, - SUBTOTAL:fC Old PLUS PROCESSING FEE: $35.00 TOTAL PERMIT FEE DUE: i7(- G EXPIRES: BANKCARD NUMBER. AUTHORIZED SIGNATURE: