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2005, 11-07 Permit App: 05004210 Mechanical Fixtures /14.12\a..` Permit Center s"'Gane 11707E Sprague Ave,Suite 106 40010 Valley Spokane Valley,WA 99206 PERMIT NUMBER:-474 0 (509)688-0036 FAX:(509)688-0037 Community Development www.sookanevalley.ore.com ` PERMIT FEE: Mechanical Permit Application // � )) n Commercial Residential SITE ADDRESS:_ ` /, (.i( Al /Gz 1,1 Building owner SAQ,e xettAie/Yto Name: Phone: Fax: C� Address: .1/. 2 ' City:` /5.^r.? ) /_ State: .J� Zip:9 ( ContractorC_.-/ 4. c" -7..Litif - Name: Phone: 4L7..Z ye7.(78,s--(79,s-(7 Address: O �r. - qo / E // V State: (/"t Zip9,?c,2/ 7 License No: '( (f)7 ORM&I tity Business License No: S-(' iz©,s-' Contact r�K� !` Name: 9A1 /(,,i() Phone: (49q_'f 9 - 8j 8l DESCRIPTION 0 WO ..RK #OF UNITS X COST = TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 / X $12.00 = / J 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,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 APPLIANCE X $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 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 3-15 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 TANK X $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 DATE: ❑CASH 0 CHECK 0 VISA ❑MC PROCESSING FEE $$35.00 CARD#: EXPIRES: TOTAL PERMIT FEE DUE: Al y(9 AUTHORIZED SIGNATURE: REVISED 8/26/05