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2009, 03-17 Permit App: 09000637 Mechanical FixturesPermit Center 11703 Ea Sprague Ave, Suite2B-3 L� Spokane Valley, WA ( jYAl� (509)600kan 6 lletor (509)688-0037 Community Development www spokanevaltev.orq Mechanical Permit Application PERMIT NUMBER: (r)(0.51 PERMIT FEE: El Commercial ® Residential SITE ADDRESS: b912 E. 9 112 Building Owner Name: TENNLFER LEE Phone: 922-4709 eir 3to2-o67H Address: Igl2 E 9:12,. City: SpaKati e. State: Wpr Zip: 419212 Contractor Name: EFFIC Ind CY PLUS Phone: 92.4,_ 'OOO Fax: 532-9000 Address: 14211 E. BRORDWA-y Cm: 5POKArNg $f81e: WA Zip: 99916 License No: EFFIC PH 99 117`% City Business LiC: Contact Name: TEFF GOOh4VLRrJ Phone: 926-4000 DESCRIPTION OF WORK #OF UNITS X COST • TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 X 512.00 11,00 2 FUEL BURNING APPLIANCE More than 100,000 X 515.00 UNLISTED APPLIANCE (Additional Fee) Equal to or less than 400 000 x 350.00 4 UNLISTED APPLIANCE (Additional Fee) More than 400,000 X $100.00 5 USED APPLIANCE (MEC min. AFUE rating) Equal to or less than 400 000 X 550.00 B USED APPLIANCE (WSEC min. AFUE rating) More than 400,000 X $100.00 BOILER/REFRIGERATION 1-100M BTU X 312.00 B BOILER/REFRIGERATION 101- 500M BTU x 520.00 9 BOILER/REFRIGERATION 501- 1,000M BTU X 525.00 10 BOILER/REFRIGERATION 1 001 - 1,750M BTU X 335.00 11 BOILER/REFRIGERATION More than 1,750M BTU x 380.00 12 GAS LOG, GAS INSERT, GAS FIREPLACE X 510.00 13 RANGE 510.00 14 DRYER 510.00 15 FUEL BURNING WATER HEATER X 310.00 18 MISC. FUEL BURNING APPLIANCE x $10.00 17 GAS PIPING (each outlet) X 51.00 18 DUCT SYSTEMS X 510.00 19 VENTILATING FANS X 510.00 20 AIR HANDLER (DOES NOT Include dudIng) Equal to or less than 10,000 CFM X 312.00 21 AIR HANDLER (DOES NOT Include ducting) Greeter than 10,000 CFM 515.00 22 EVAPORATIVE COOLERS X 310.00 23 TYPE 1 HOOD X 550.00 24 TYPE II HOOD X 510.00 25 HEAT PUMP/AIR CONDITIONER 0-3 TON 512.00 26 AIR CONDITIONER 4.15 TON X 520.00 27 AIR CONDITIONER 15-30 TON 525.00 28 AIR CONDITIONER 30-50 TON X 535.00 29 AIR CONDITIONER More than 50 TON X $60.00 30 LPG STORAGE TANK X 510.00 31 WOOD OR PELLET STOVE/INSERT X 510.00 32 WOOD STOVE - FREE STANDING x 525.00 33 REPAIR & ADDITIONS X 515.00 34 VENTILATION SYSTEMS x 512.00 35 VENTILATION MECHANICAL EXHAUST X 512.00 36 INCINERATOR - RESIDENCE x 519.00 37 INCINERATOR - COMMERCIAL X 522.00 METHOD OF PAYMENT: ❑CASH 0 CHECK 0 VISA 0 MC CARD #. AUTHORIZED SIGNATURE: REVISED 8rs6/05 EXPIRES: VIN: SUBTOTAL PROCESSING FEE TOTAL PERMIT FEE DUE: Ak ES�W -So.00