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2003, Permit App: BD03-784 Piping C(�icr>•t !09.- 11707 East Sprague Avenue,Suite 106 509-688-0036-Phone 3poR ne Spokane Valley,WA 99206 509-688-0037-Fax ,Tape;T For Inspections, call 509-688-0054 -Mechanical Permit Application VSD o-5 -7 c PROJECT PERMIT ADDRESS: V y'2/� u /�(Al _/ USE: OWNER 69 � �'' �/)S�1©,\/ PHONE(Daytime Contact): MAILING ADDRESS: •% / 4/ 6'A(//V fid .__5 /1/11N x4- / 'if (street) (city/state) (ZIP) CONTRACTOR: � ,,,���{7 .2---2-4_;g_52:0( LICENSE#: MAILING ADDRESS,. ` jj�// PHONE#: c 7 /i o774if " 5o Ai /� t .a.6._& 7 X97/47 (J/I/V 4 / (street) (city/state) (ZIP) • DESCRIPTION OF WORK 0 OF UNITS X COST EQUALS AMOJ NT 1 FUEL BURNING APPLIANCE -OR<100,000 ` X 515 • - I,1, 2 FUEL BURNING APPLIANCE >100,000 X $19 3 UNLISTED APPLIANCE(ADDITIONAL FEE) -OR<400,000 • X S90 - 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 $10 - 14 DRYER - X 510 - • 15 FUEL BURNING WATER HEATER - X 510 - 16 MISC FUEL BURNING APPL. - X 510 - 17 GAS PIPING(ea.Outlet) - X 51 - /, 18 DUCT SYSTEMS - ' X $10 - 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 $20 - 27 AIR CONDITIONER 15-30 TON X 525 - • 28 AIR CONDMONER 30-50 TON X 535 29 AIR CONDITIONER +50 TON' X $60 = 30 LPG STORAGE TANK - X $10 - 31 WOOD ORPELLET STOVE/INSERT - X 510 32 WOOD STOVE-FREE STANDING - X 525 • • . SUBTOTAL: g L.-0°0° METHOD OF PAYMENT PLUS PROCESSING FEE: $35.00 VISA ' V...•,51 ... • TOTAL PERMIT FEE DUE: ( / /0X CASH ❑ CHECK ❑ ❑ ..._=_-,.. .._ _--._ J . DATE: EXPIRES: • • , �' BANKCARD NUMBER: AUTHORIZED SIGNATURE: •