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2007, 03-20 Permit App: 07000853 AC Permit Center _ 11707 E Sprague Ave,Suite 106 . PERMIT NUMBER: 40.0*ValleY Spokane Valley,WA 99206 (509)688-0036 FAX:(509)688-0037 PERMIT FEE: Community Development www.spokanevalley.ore.com Mechanical Permit Application n Commercial n Residential SITE ADDRESS: 13 0-1 E S - LI a_Te_l Building owner Q ISS .L hu e S+Hti-ewA-s L,L Name: b•e%-.t•.i S :.1 3 r f n Phone: Fax: Address: tZ'3 t 3 t 21+._ A atm 10 E City: .G e- Si(.)-ek}' State: (iliA-- Zip: ¶R211 , Contractor Viu.(Ln..e_ V.Li...;: a (-ot.-tet L L C Name: / kti 3 O I.t,e S Phone: 2 / '7 -/L f q-/ Fax: 34/3- 0 2.5-7 Address: 46C)S-" E f -_.,L City: $pc..?, State: (,I- Zip: 592 Z 3 License No: k J A L. ('A_E g i SS- k P City Business License No: Contact rT 1 IAA_ 0 Al E S Name: Phone: ,2 1-7- '-/4 DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 at ( 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 I X $10.00 _= 16 MISC.FUEL BURNING APPLIANCE X $10.00 = 17 GAS PIPING(each outlet) X $1.00 = 18 DUCT SYSTEMS X $10.00 = e� 19 VENTILATING FANS .i 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 I 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: AUTHORIZED SIGNATURE: REVISED 8/26/05