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2008, 08-04 Permit App: 08003009 Piping Permit Center svokanto , 11703E Sprague Ave,Suite 13-3 �j' "7.�,,Q Spokane Valley,WA 99206 PERMIT NUMBER:'/ �f (509)688-0036 FAX:(509)688-0037 PERMIT FEE: - Community Development permitcenteOsnokanevalley.org Mechanical Permit Application ❑Commercial ( Residential SITE ADDRESS: 1 ci05- S UeA \am Vee -1 'l • Building Owner Name: --CJc5tga_ tio_7 __7 ti Iryi 0-y___ r)`[cc L./s_ Phone: _ce Fax: Address: l c - , vvl} ce t,../ ` i2- City: v� State: ( � Zip: 9 C�o 7 Contractor(� p /� /W Name: (1\,I(_ �K�1,7 Phone: Z qv_ Fax: e� `x•,35-66i 6 Address: 5-s-i 7 I, PIPcl`t3-10 City: c)PC.) State: t.eitex Zip:9.9... /-2_ License No: f�T'K. .�LgtF© City Business Lic: MO Contact T Name: .d,e___ Phone: (7// 5 7' DESCRIPTION OF WORK #OF UNITS UNITS X COST = TOTAL AMOUNT 1 FUELBURNING APPLIANCE Equal to&less than 100,000 X - -512.00 _ .__ 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.G4S 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) 3- X $1.00 = -00 18 DUCT SYSTEMS X $10.00 = 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 = 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 TANKX $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 3-01) ['CASH 0 CHECK 0 VISA 0 MC EXPIRES: PROCESSING FEE $35.00 CARD#: VIN: TOTAL PERMIT FEE DUE: 35s' AUTHORIZED SIGNATURE: REVISED 8/26/05