2007, 05-24 Permit App: 07001934 Heat Pump, AC - 05/21/2007 12:45 FAX 5093252615 Sturm Heating X0001/0001
Permit Center
Sgtika e ' 11703 E Sprague Ave,Suite B-3
y� Spokane Valley,WA 99206 PERMIT NUMBER: '?�
dl (509)688-0036 FAX:(509)688-0037 PERMIT FEE: L47
Community
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Mechanical Permit Application ❑Commercial ,Residential
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Name /"�.r1 "--? l LA1C.f"-L•L' ,f Phone-.39 509 Fax:r ;'5 Ca I.
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DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT
1 FUEL BURNING APPLIANCE Equal to or less Than 100,000 X $12.D0 =
2 FUEL BURNING APPLIANCE More than 100,030 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 550.00 =
6 USED APPLIANCE(WSEC min.AFUE rating), More than 400,000 X $100.00
7 BOILERJREFRIGERATION 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,GAS 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 APPLIANCEX $10.00 .
17 , GAS PIPING(each outlet) X $1.00
18 DUCT SYSTEMS X $10.00
19 VENTILATING FANS X $10.00
20 AIR HANDLER(DOES NOT include ducting) Equal to or loss 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 510.00 =
23 TYPE I HOOD X $50.00
24 TYPE II HOOD X $10.00 =
25 HEAT PUMP/AIR CONDITIONER 0-3 TON 1 X $12.00 = 1/,i
26 AIR CONDITIONER 4-15 TON X , 320.00 _ = J
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 T X $60.00 =
30 LPG STORAGE TANK X 510.00
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 e,/ ..),
OCASH D CHECK ElVISA 0 MC EXPIRES: PROCESSING FEE $35.00
CARD#: A %VIN: TOTAL PERMIT FEE DUE:
AUTIIURIZED SIGNATURE: ()7-2 f �'
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REVISED H/26106 / ���
MAY 21 200 12 45 5093252615 PAGE.01