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2005, 11-22 Permit App: 05004418 Insert
11/18/2885 15:38 5©94848332 RRHEATING PAGE 81 Permit Center _ � 11707 E. Sprague Ave., Suite'i06 Soo. ne Spokane Valley, WA 99206 Y"' Valley. (509)688-0036 FAX:(509)688-0037 Q r`� .,. «����7 \�ww.s�okanevalle .olg.uom PERMIT NUMBER:e' I a �-�- �PERMIT FEE: -� Community Development Mechanical Permit Application 0 C(mmercial P.Residential SITE ADDRESS 4225 N. Vercler Rc Spokane Valley, WA 99216 - U)32_ . M3 Building owner: Fax: Name: James Cox Phoi te: 290-0957 Address: 4225 N.Voider Road C:•ty: Spokane Valley State: WA Zip: 99212 Contractor: R& R Heating&A/C, Inc. Fax: 484 8332 Name: Phone: 484-1405 ty: p Address: 4019 E. Central Ave. CSpokane State: WA . Zip: 99217 License No: RRHEAA'106BW City Business License No: DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT Equal to or k ss than 100,000 X 12.00 - 0.00 1 FUEL BURNING APLIANCE _ 0.00 2 FUEL BURNING APLIANCE More than 100,000 __- X 15.00 Equal to or k ss than 400,000 X 5C.00 = 0.00 3 UNLISTED APPLIANCE(Additional Fee) _ 0.00 4 UNLISTED APPLIANCE(Additional Fee) More th 3n 400,000 X 100.00 = Equal to or ie ss than 400,000 X 50.00 0.00 5 USED APPLIANCE(WSEC's min.AFUE rating) 0.00 6 USED APPLIANCE(WSEC's min.AFUE rating) More than 400,000 X 100.00 7 BOILER/REFRIGERATION 1-1C)M BTU X 12.00 = 0.00 101 5)0M BTU X 20.00 = 0.00 8 BOILER/REFRIGERATION 0.00 9 BOILER/REFRIGERATION 501-1,)OOM BTU X 25.00 = 10 BOILER/REFRIGERATION 1,001-1,750M BTU X 35.00 = 0.00 11 BOILER/REFRIGERATION More Char 1,750M BTU X 60.00 = 0.00 10.00 12 GAS LOG,GAS INSERT,GAS FIREPLACE 1 X 10.00 = X 10.00 = 0.00 13 RANGE , X 10.00 = 0.00 14 DRYER 15 FUEL BURING WATER HEATER X 10.00 0.00 16 MIS.FUELBURNING APPLIANCE I X 13.00 = 0.00 X i.OG = 0.00 17 GAS PIPING(each unit) - = X 1 3.CC 0.0018 DUCT SYSTEM 19 VENTILATING FANS X 10.00 = 0.00 20 AIR HANDLER(DOES NOT include ducting) Equal to or less:than 10,0000 CFM X 12.00 = 0.00 21 AIR HANDLER(DOES NOT include ducting) Greater th 3n 10,000 CFM X 15.00 = 0.00 ; 22 EVAPORATIVE COOLERS X 10.00 = 0.00 X 60.00: 0.00 23 TYPE I HOOD - ' X 10.00' = 0.00 24 TYPE II HOOD 25 HEATPUMP/AIR CONDITIONER 0 3 TON X12,00i = 0.00 TON X 3 15 20.00 = 0.00 26 AIR CONDITIONER 2- 27 AIR CONDITIONER 1530 TON X 25.00 = 0.00 28 AIR CONDITIONER 3050 TON 1 X 35_00 = 0.00 29 AIR CONDITIONER More 1 Ian 50 TON X 60.00 = 0.00 30 LPG STORAGE TANK _ X 1 Q00 = 0.00 31 WOOD OR PELLET STOVE/INSERT X 10.00 = 0.00 32 WOOD STOVE-FREE STANDING X 25.00 = 0.00 33 REPAIR&ADDITIONS 1 X 15.00 = 0.00 34 VENTILATION SYSTEMS _ 1 X 12.00 = 0.00 35 VENTILATION MECHANICAL EXHAUST X 12.00 = 0.00 36 INCINERATOR-RESIDENCE IX 18.00 = 0.00 37 INCINERATOR-COMMERCIAL X 22.00 = 0.00 METHOD OF PAYMENT: SUBTOTAL 10.00 ❑ CASH Li CHECK E}-VISA ❑' MC DATE: / I-'CO- LI _ PROCESSING FEE 35.00 CARD# ON FILE EXPIRES: 06/06 _TOTAL PERMIT FEE DUE; 45.00 Authorized Signature: .._.)---n ? 1(;11' '. t )..,,i, (,1j ,.%"- ____. J ' 1) NOU 18 2005 15:55 5094948 332 FPGE.01