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2006, 11-27 Permit App: 06004629 WoodstoveFMalley Community Development Permit Center 11707 E Sprague Ave, Suite Id Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688 www . s p ok a n ec a l l e i• . o r g Mechanical Permit Application SITE ADDRESS: 9 C NOV 2`2O 401 rc [Ili fl PERMIT NUMBER: `he' Z ` PERMIT FEE: tial £ . ‘000d/ Building Owner Name: t. ` c c.obS Phone: 5-3S , 773 Fax: ,T^^,t.,5) Address: 5v�Qr L. LJocc://a /� n !Jr. City: Spa vii ( State: et Zip: 9/p a/60 .L� Contractor Name: Phone: Fax: Address: City: State: Zip: License No: City Business Lic: Contact V 1.4.1)L Q !P. Name: /'_`LJ.� J4COLs Phone: ��'-3s-77Jp DESCRIPTION OF WORK # OF UNITS X COST = TOTAL A 2 FUEL BURNING APPLIANCE Equal to or less than 100,000 X $12.00 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 7 8 9 USED APPLIANCE (WSEC min. AFUE rating) BOILER/REFRIGERATION BOILER/REFRIGERATION More than 400,000 X $100.00 1 - 100M BTU X $12.00 101-500M BTU X $20.00 BOILER/REFRIGERATION 501 - 1,000M BTU X $25.00 10 11 12 13 BOILER/REFRIGERATION BOILER/REFRIGERATION 1,001 - 1,750M BTU X $35.00 More than 1,750M BTU X $60.00 GAS LOG, GAS INSERT. GAS FIREPLACE RANGE x $10.00 X $10.00 14 DRYER X $10.00 15 FUEL BURNING WATER HEATER X $10.00 16 17 MISC. FUEL BURNING APPLIANCE X $10.00 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: ❑CASH ❑ CHECK 0 VISA 0 MC CARD #: AUTHORIZED SIGNATURE: REVISED 8/26/05 EXPIRES: VIN: SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: