2004, 08-05 Permit App: BLD-04-07245 AC S 0'3Jt id SOS ti b8b60S SZ:60 1700Z 0£ lac
-
I? NS
City of
Spokane Valley Mechanical Permit Application Fax*688-0037
Project Permit
Address: 3420 S Vercier Dr Use:
Owner. David Wesselman Phone(daytime contact):
922-7067
Mailing Address SAME
(street) (city/state) (zip)
Contractor. R&R Heating and AC, Inc. License: RRHEAA106BW
Mailing Address 4019 E Central Phone#: 484-1405
Spokane,Wa 99217
(street) (city/state) (zip)
Description of Work #of units Cost = Amount
1 Fuel burning appliance -or<100,000 X 15.00 = 0.00
2 Fuel burning appliance >100,000 X19.00 = 0.00
3 Unlisted appliance(additional chargel -or<400.000 X - 50.00 = 0.00
4 Unlisted appliance(additional charge) >400,000 X 100.00 a 0.00
5 Used appliance(WSEC's min.AFUE rating) -or<100,000 X 580.00 = 0.00
6 Used appliance(WSEC's min.AFUE rating) >400,000 X 100.00 = 0.00
7 Bollerirefrigeratton 1-100M BTU X 15.00 = 0.00
8 Boller/refrigeration 101-600M BTU X 28.00 = 0.00
9 Boller/refrigeration 501-1,000M BTU X 39.00 = 0.00
10 Boiler/refrigeration 1,001-1,750M BTU X 57.00 = 0.00
11 Boller/refrigeration *1,750M BTU X 96.00 = 0.00
12 Gas log,gas insert,gas fireplace X 10.00 = 0.00
13 Range - X t0.0o ® 0.00
14 Dryer - X 10.00 = 0.00
15 Fuel burning water heater - X 10.00 = 0.00
16 Miscellaneous fuel burning appliance - X 10.00 - 0.00
17 Gas piping,(each outlet) - X 1.00 = 0.00
18 Dud systems - X 10.00 = 0.00
19 Ventilating fans - X 10,00 = 0.00
20 Air handler(does not include ducting) -or<10,000 CFM X 12.00 = 0.00
21 Air handler(does not include ducting) >10,000 CFM X 19.00 = 0.00
22 Evaporative coolers - X 10.00 = 0.00
23 Type I hood - X 50.00 m 0.00
24 Type II hood - X 10.00 0 0.00
25 Heat pump/eir conditioner 0-3 tons 1 X 12.00 = 12.00
26 Alr conditioner 3-15 tons X 20.00 = 0.00
27 Air conditioner 15-30 tons X 25.00 = 0.00
28 Air conditioner 30-50 tons X 35.00 = 0.00
29 Air conditioner +50 tons X 80.00 = 0.00
30 LPG storage tank - X 10.00 = 0.00
31 Wood or pellet stove/Insert - X 10.00 Is 0.00
32 Wood stove-free standing - X 25._00 = _ 0.00
O Cash 0 Check 0 Visa 0 MasterCard Subtotal
12.00
Fazed permits will only be accepted wltn payment of a major credit caro Plus Processing
Fee 35.00
Date: Expires: Total Permit Fee
,Due 47.00
Bankcard Number.
Authorized Signature:
TO/TO 39tid DNIlt73H NN SOStbBb60S ZI:60 b00Z/0E/L0