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2006, 02-01 Permit App: 06000325 Duct System Permit Center Sti kerne 11707E Sprague Ave,Suite 106 PERMIT NUMBER: �f Valley Spokane Valley,WA 99206 ���� (509)688-0036 FAX:(509)688-0037 PERMIT FEE: Community Development www.sookanevallev.ore.com J� t Mechanical Permit Application [J Commercial XResidential SITE ADDRESS: Jc t C Lou c.'o �(B rfli' i^ kJ Sp0IlH u t V.i.GI- l Building owner • . . Name: 4,s ( c k J Phone: b' S'2 27�j 1;S Fax: Address: (T , C W�',✓1 t vw NA Ave City: 5 t,jt,.--i> i,l(S{ate: UV 14- Zip: • D 1I Contractor . • Name: Phone: Fax Address: City: State: Zip: License No: City Business License No: 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 $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 = 0 DUCT SYSTEMS 4.. X $10.00 = .2,0 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 OCASH 0 CHECK 0 VISA 0 MC DATE: PROCESSING FEE $35.00 CARD#: . EXPIRES. TOTAL PERMIT FEE DUE: cc . Ga AUTHORIZED SIGNATURE: REVISED 8n6/o5