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2005, 06-17 Permit App: 05001893 AC
06/01/2005 11:51 5094841405 RR HEATING PAGE 02 iStAdziitoteA( tiefruAl, '-i d-17-. 003? - • (poi _sidc ,, ,..k,,_y___ I, 4,„ . )4 City of P-d / �J 2 Spokane Valley Mechanical Permit 8 I. 7 �L J Application 44-00 �x#688 �� 7 Project C1(o l't Permit Address: E.4th Uei}8- Use: Owner: MT Management Phone(daytime contact): 922-3942 Mailing Address: SAME (street) (city/state) (zip) Contractor: R&12 Heating and AC, Inc. License: RRHEAA106BW Mailing Address: 4019 E Central Phone#: 484-1405 Spokane,Wa 99217 (street) (city/state) (zip) Description of Work #of units Cost = Amount 1 Fuel burning appliance -or<100,000 X 12.00 = 0.00 2 Fuel burning appliance >100,000 X 15.00 0.00 3 Unlisted appliance(additional charge) -or<400,000 X 50.00_ 0.00 4 Unlisted appliance(additional charge) >400,000 X 100.00 = 0.00 5 Used appliance(WSEC's min.AFUE rating) =to or<400,00 X 60.00 = 0.00 6 Used appliance(WSEC's min.AFUE rating) >400,000 X 100.00 = 0.00 7 Boiler/refrigeration 1-100M BTU _ X 12.00 = 0.00 8 Boller/refrigeration 101-500M BTU X 20.00 0.00 9 Boiler/refrigeration 501-1,000M BTU X _ 25.00 = 0.00 10 Boiler/refrigeration 1,001-1,750M BTU X 35.00 = 0.00 11 Boiler/refrigeration +1.750M BTU X 60.00 = 0.00 12 Gas log,gas insert,gas fireplace - X 10.00 = 0.00 13 Range - X 10.00 = 0.00 1 14 Dryer - X 10.00 = 0.00 15 Fuel burning water heater X 10.00 = 0.00 - 16 Miscellaneous fuel burning appliance - X 10.00 = 0.00 17 Gas piping,(each outlet) - X 1.00 = 0.00 18,Duct systems - X 10,00 = 0.00 19 Ventilating fans - X 10.00 a 0.00 20 Air handler(does not include ducting) -or<10,000 CFM X 12.00 ra 0.00 21 Air handler(does not include ducting) >10,000 CFM X 15.00 = 0.00 22 Evaporative coolers _ - X 10.00 = 0.00 23 Type I hood - X 50,00 = 0.00 24 Type II hood - X 10.00 = 0.00 25 Heat pump/air conditioner 0-3 tons 1 X 12.00 = 12.00 26 Air conditioner 3-15 tons X 20.00 = 0.00 27 Air conditioner 15-30 tons X , 25.00 = 0.00 28 Air conditioner 30-50 tons X 35.00 = 0,00 29 Air conditioner +50 tons X 60.00 = 0.00 30 LPG storage tank - X 10.00 = 0.00 31 Wood or pellet stove/insert - X 10.00 = 0.00 32 Wood stove-free standing - X 25.00 = 0,00 o -+.. -...-4 ❑ Cash 0 Check kVise 0 MasterCard Subtotal 12.00 Faxed permits will only be accepted with payment of a major credit card Plus Processing 6-1-0c Fee 35.00 l0 Date: -1 0 S Expires: 06/06 Total Permit Fee Due 47.00 Bankcard Number: On File Authorized Signature: .t ytt--.{A e4, JUN 01 2005 13:02 5094841405 PAGE.02