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2007, 10-23 Permit App: 97004257 Mechanical Fixtures Permit Center San�7_�.® e or► 11703 E Sprague Ave,Suite B-3 PERMIT NUMBER: '-A 7SJ p 1LAinSpokane Valley,WA 99206 j Valley (509)688-0036 FAX:(509)688-0037 ( i - Community Development www.spokanevallev.ore PERMIT FEE: 1 Mechanical Permit Application ❑ Commercial L -Residential • SITE ADDRESS: / L4 f / 7C-f I, c 6-(1-.. _sri,ka `,tee. V--i u 'a l Building Owner A d o _..r�.. ,,-,1 5` o, I _sr J Name: Phone: (6 F_ .S"S4'? Fax: sqo 4,4_1's-/ Address: /. . 6',7,,,e ( ? $„/ City: ©4 .er.., State: vv Q Zip:`'r 2 -167 Contractor Name: Q W rJ t; g,_ Phone: (6 G- S se-q• Fax: SC? 4 q S l Address: p, J, 60), ( g g J r City: S,7 /-c=,....-4. State: t.A„ C. Zip: g 9 Z 8, License No: City Business Lic: Contact Name: A d a --, Phone: 66 r- SS' q2 DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 2 X $12.00 = 2'i . 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) L X $1.00 = 2. 18 DUCT SYSTEMS X $10.00 = 19 VENTILATING FANS X I $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 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 $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 0 CHECK 0 VISA 0 MC EXPIRES: PROCESSING FEE $35.00 CARD#: l ^" VIN: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: e.----' REVISED 8/26/05