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2003, 10-24 Permit App: BLD-03-02897 Mechanical Fixtures.Valley Mechanical Permit Application 11707 East S¢raguetAvenue, Suite 106 509-688-0036 - Phone 509-688-0037 - Fax Spokane Valley, WA 99206 PROJECT'/ �/ / ADDRESS: 2 p & t Wo p , ✓" '/ / / PERMIT USE: OWNER ' R ' - Mita PHONE (Daytime Contact): -2 — -Gf/2 MAILING ADDRESS: /V� lavytir t 00111'1/'/' sf o,- W/1' 119.2,0C , (street) (dry/state) (ZIP) CONTRACTOR SPA LICENSE 1: r MAIIANG ADDRESS: -• PHONE d: - 2 (street) . (city/state) (ZIP) ❑ CASH 0 MELT -IOD OF PAY DESCRIPTION OF WORK 1 OF UN1TS X COST EQUALS AMOUNT 1 FUEL BURNING APPLIANCE . - OR <100,000 r X ' 515 - 2 FUEL BURNING APPLIANCE , > 100,000 . X 519 - 3 UNLISTED APPLIANCE (ADDITIONAL FEE) • OR<400,000 X 550 - 4, UNLISTED APPLIANCE (ADDITIONAL FEE) >400,020 X 1100 - 5 USED APPLLINCE (WSEC min. AFUE rating) • or <400,000 X' • 550 . - 6 USED APPLIANCE (WSEC min. AFUE rating) >400,000 X 1100 • 7 BOILER/REFRIGERATION 1.100M BTU - X 515 8 BOILER/REFRIGERATION 101- SOOM BTU X $28 • 9 BOILER/REFRIGERATION 501- LOOOM BTU X 539 - 10 BORER/REFRIGERATION 1001.1,750M BTU X $57 • 11 BOILER/REFRIGERATION +1750M BTU X 595 - 12 GAS LOC, GAS INSERT, GAS FIREPLACE - X 510 13 RANGE - X 510 - 14 DRYER - X 510 - 15 FUEL BURNING WATER HEATER - - X 510 • 16 MIST FUEL BURNINGAPPt- -- .,_. X. _. _g10 _ _. . - . 17 GAS PIPING (ea Outlet) - at . X 51 • 18 DUCT SYSTEMS - X 110 - 19 VENTILATING FANS - X 170 - 20 AIR HANDLER (DOES NOT Include ducting) - OR<10,00DCFM X 512 - 21 AIX HANDLER (DOES NOT Include ducting) > 10,003 CFM X $19 • 22 EVAPORATIVE COOLERS - . , X 510 .• 23 TYPE IHOOD - X 150 • 24 TYPE II HOOD - X 510 • 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X 512 • 26 AIR CONDITIONER 3-15 TON X 120 • 27 ABR CONDITIONER 15.30 TON X 125 - 28 AIRCONDITIONER 30-50 TON X $35 - 29 MR CONDDTONER 450 TON X • 560 - 30 120 STORAGE TANK - X 510 - 31 WOOD OR PELLET STOVE/INSERT - X ' 510. • 32 WOOD STOVE - FREE STANDING - X $25 • MENT WM (� 'y{sf! SUBTOTAL: PLUS PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: DATE EXPIRES: BANKCARD NUMBER: AUTHORIZED SIGNATURE: