2003 Permit App: BD-03-279 3 OTY( !� '�a,�, 11707 East Sprague Avenue,Suite 106 509-688-0036-Phone
ne Spokane Valley,WA 99206 509-688-0037-Fax
sValleY For Inspections, call 509-688-0054
41•001
Mechanical Permit Application `8 D £3 -279
PROJECTPERMIT /'
ADDRESS: �j /" USE: //U
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MAILING ADDRESS: p O
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MAILING ADDRESS: PHONE#:
(street) (city/state) (ZIP)
DESCRIPTION OF WORK 9 OF LINJTS X COST EQUALS AMOUNT
I FUEL BURNING APPLIANCE =OR<100,000 / X' 515 f 5'-&U
2 FUEL BURNING APPLIANCE >100,000 X 519 =
3 UNLISTED APPLIANCE(ADDITIONAL FEE) =OR<400,000 X 550 =
4 UNLISTED APPLIANCE(ADDITIONAL FEE) >400,000 X 5100 =
5 USED APPLIANCE(WSEC min.AFUE rating) =or<400,000 X 550 =
6 USED APPLIANCE(WSEC min.AFUE rating) >400,000 X 5100 =
7 BOILER/REFRIGERATION 1-100M BTU X $15 -
8 BOILER/REFRIGERATION 101-500M BTU X 528 -
9 BOILER/REFRIGERATION 501-1,000M BTU X $39 =
10 BOILER/REFRIGERATION 1001-1,750M BTU X $57 =
11 BOILER/REFRIGERATION +1750M BTU X 595 -
12 GAS LOG,GAS INSERT,GAS FIREPLACE — Z X $10 = 20,
13 RANGE __
14 DRYER / X 510 = i r)
X 510 =
15 FUEL BURNING WATER HEATER — / 0/l $10 {°
16 MISC.FUEL BURNING ADPL. — X $10
17 GAS PIPING(ea.Outlet) — C� $1 =
5---
18 DUCT SYSTEMS — $10
19 VENTILATING FANS — X $10 =
20 AIR HANDLER(DOES NOT include ducting) =OR<10,000CFM X $12 =
21 AIR HANDLER(DOES NOT include ducting) >10,000 CFM X 519 =
22 EVAPORATIVE COOLERS — X $10 =
23 TYPE I HOOD — X 550 =
24 TYPE II HOOD — X 510 -
25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12 12
26 AIR CONDITIONER 3-15 TON X $20 =
27 AIR CONDITIONER 15-30 TON X $25 =
28 AIR CONDITIONER 30-50 TON X 535 =
29 AIR CONDITIONER +50 TON X 560 =
30 LPG STORAGE TANK — X $10 -
31 WOOD OR PELLET STOVE/INSERT — X 510 =
32 WOOD STOVE-FREE STANDING — X $25 -
•
SUBTOTAL: -7 .0)
METHOD OF PAYMENT PLUS PROCESSING FEE: $35.00
VISA re: • TOTAL PERMIT FEE DUE: ro 0
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❑ CASH ❑ CHECK ❑ ❑ -_ '.`..I 7 v V
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DATE: EXPIRES:
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BANKCARD NUMBER: 1 \1-
AUTHORIZED SIGNATURE: