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2007, 10-17 Permit App: 07004184 Mechanical Fixtures Permit Center S j oIka�' e 11703E Sprague Ave,Suite B-3 Spokane Valley,WA 99206 PERMIT NUMBER: t-l- Vauey- (509)688-0036 FAX:(509)688-0037 ww�aspokanevallev.oro • PERMIT FEE: C - Community Development - Mechanical Permit Application111Commercial ] Residential SITE ADDRESS: 3 c1 ,9 S. t/" o D`( Ixk/(/ i Building Owner Name: Phone: Fax: Address: 0City: 50) State: 1 ._ Zip: Contractor 6/1Vl4f 4/ 1Q 414/C Name: Phone: Fax: Address: / „C� ) / �'`� City: /,�4 State: Zip: �7 j� License No: L U ! A 0 1 _g'.., City B mess",Lic: Contact Name: Phone: DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 X $12.00 = 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 I $35.00 = • 11 BOILER/REFRIGERATION More than 1,750M BTU X $60.00 12 GAS LOG,GAS INSERT,GAS FIREPLACE ( X $10.00 = )0 D D 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) 3 X $1.00 =I 3,0 V 18 DUCT SYSTEMS X $10.00 = I19 VENTILATING FANS X $10.00 = (0 .0D 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 4-15 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 I $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 ❑CASH ❑CHECK 0 VISA 0 MC EXPIRES: PROCESSING FEE $35.00 CARD#: VIN: TOTAL PERMIT FEE DUE: to%0i) AUTHORIZED SIGNATURE: REVISED 8/26/05