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2003, 07-07 Permit App: BD03-725 Mechanical Fixtures .cITY( , 11707 Eat Sprague Avenue,Suite 106 509-688-0036-Phone • ne Spokane Valley,WA 99206 509-688-0037-Fax 4000 Val1eY. For Inspections, call 509-688-0054 -Mechanical Permit Application 03- 725- PROJECT 2cPROJECT c \\•.)V PERMIT. ADDRESS: 1b, ) \ \? )� USE: i 1 `-t-a I { I c\as �,a 1��%te OWNERMaik \1 IeiTinil/PHONE(Daytime Contact). _Cop")0408 MAILING ADDRESS: 18j 1 S 4.\1pplc *btu , u`►A Gq (street) (city/state) (ZIP) CONTRACTOR: "-1 A_ LICENSE I: MAILING ADDRESS: PHONE#: (street) (city/state) (ZIP) DESCRIPTION OF WORK +I OF UNITS X COST EQUALS AMOUNT 1 FUEL BURNING APPLIANCE •OR<100,000 X $15 • - 2 FUEL BURNING APPLIANCE >100,000 X $19 - 3 UNLISTED APPLIANCE(ADDITIONAL FEE) •OR<400,000 • X $50 - 4 UNLISTED APPLIANCE(ADDITIONAL FEE) >400,000 X $100 . - 5 USED APPLIANCE(WSEC min AFUE rating) .or<400,000 X $50 6 USED APPLIANCE(WSEC min.AFUE rating) >400,000 X $100 - 7 BOILER/REFRIGERATION 1-100M BTU X $15 - 8 BOILER/REFRIGERATION 101-500M BTU 'X $28 - 9 BOILER/REFRIGERATION 501-1,000M BTU,_ X $39 - 10 BOILER/REFRIGERATION 1001-1,750M BTU X . $57 11 BOILER/REFRIGERATION +1750M BTU X $95 12 GAS LOG,GAS INSERT,GAS FIREPLACE - X $10 . 13 RANGE - X $10 = )(I 14 DRYER - X $10 • 25 FUEL BURNING WATER HEATER - X $10 . • 16 MISC.FUEL BURNING APPL. - X $10 - 17 GAS PIPING(ea.Outlet) - X Si ' 18 DUCT SYSTEMS - • X $10 - 19 VENTILATING FANS - X $10 - • 20 AIR HANDLER(DOES NOT include ducting) -OR<10,000CFM X $12 - 21 AIR HANDLER(DOES NOT include ducting) >10,000 CFM X $19 . 22 EVAPORATIVE COOLERS - X $10 - 23 TYPE I HOOD - X $50 - 24 TYPE II HOOD - X $10 - • 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X _ $12 - • 26 AIR CONDITIONER 3-15 TON X $20 - 27 AIR CONDITIONER 15-30 TON X $25 . 28 AIR CONDITIONER 30-50 TON _ X _ $35 . 29 AIR CONDITIONER +50 TON' • X $60 30 LPG STORAGE TANK - X $10 - 31 WOOD OR PELLET STOVE/INSERT - X $10 - 32 WOOD STOVE-FREE STANDING - X $25 - . SUBTOTAL: /1.0°1.UQ METHOD OF PAYMENT PLUS PROCESSING FEE: $35.00 jea5p • 1.' • TOTAL PERMIT FEE DUE rcAft, • 0 CASH 0 CHECK 0 0 _ .._=:.-._ . G s ,,'r- 7/'.ST1 4pie EXPIRES: TJ C �, BANKCARD NUMBER: , AUTHORIZED SIGNATURE: 7 7— 0 / /se_