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2004, 12-10 Permit App: 94009376 Water Heater
tlTYtMr%, 11707 East Sprague Avenue, Suite 106 509-688-0036-Phone ane •, Spokane VJI11.ey4WA 99206 509-688-0037-Fax .....*Valley •Mechanical Permit Application PROJECT PERMIT ADDRESS: 7:Z9 5 c USE: 3 ��D OWNER: •G?S PHONE(Daytime Contact). MAILING ADDRESS: �7 � �� (street) (city/state) (ZIP) r CONTRACTOR/ rve (enNA r LICENpr#43Gs Q8 / MAILING ADDRESS: PHONE#: G -2,o 66 06cr _ ,,C770 (42A.1)-es ,?)1e- e..bliz- __,T-D ? )",r? J ( (street) (city/state) (ZIP) DESCRIPTION OF WORK I OF UNITS X COST EQUALS AMOUNT 1 FUEL BURNING APPLIANCE -OR<100,000 X $15 - 2 FUEL BURNING APPLIANCE >100,000 X $19 - 3 UNLISTED APPLIANCE(ADDITIONAL FEE) -OR<400,000 X $50 - 4 UNLISTED APPLIANCE(ADDITIONAL FEE) >400,000 X $100 -. 5 USED APPLIANCE(WSEC min.AFUE rating) -or<400,000 X $50 - 6 USED APPLIANCE(WSEC min.AFUE rating) >400,000 X $100 - 7 BOILER/REFRIGERATION 1-100M BTU X $15 - 8 BOILER/REFRIGERATION 101-500M BTU X $28 - 9 BOILER/REFRIGERATION 501-1,000M BTU X $39 10 BOILER/REFRIGERATION 1001-1,750M BTU X . $57 - 11 BOILER/REFRIGERATION +1750M BTU X $95 - 12 GAS LOG,GAS INSERT,GAS FIREPLACE - X $10 - 13 RANGE - X $10 - 14 DRYER - X $10 - 15 FUEL BURNING WATER HEATER - X $10 - /©, i 16 MIST FUEL BURNING APPL. • - X $10 - 17 GAS PIPING(ea.Outlet) - X $1 - • 18 DUCT SYSTEMS - X $10 - 19 VENTILATING FANS - X $10 - 20 AIR HANDLER(DOES NOT Include ducting) -OR<10,000CFM X $12 - 21 AIR HANDLER(DOES NOT include ducting) >10,000 CFM X $19 - 22 EVAPORATIVE COOLERS - X $10 - • 23 TYPE I HOOD - X $50 - • 24 TYPE II HOOD - - X. $10 - 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12 - 26 AIR CONDITIONER 3-15 TON X $20 - 27 AIR CONDITIONER 15-30 TON X $25 - 28 AIR CONDITIONER 30-50 TON X $35 - 29 AIR CONDITIONER +50 TON X $60 - 50 LPG STORAGE TANK - X $10 - 31 WOOD OR PELLET STOVE/INSERT - X $10 - 32 WOOD STOVE-FREE STANDING - X $25 - SUBTOTAL: METHOD OF PAYMENT . • PLUS PROCESSING FEE: $35.00 . MOM • VISA •. .Iris- • TOTAL PERMIT FEE DUE: ❑ CASH Ft CHECK ❑ ❑ __ .:'_ DATE: / '9'-'19/ EXPIRES: BANKCARD NUMBER: AUTI-IORIZED SIGNATURE: