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2005, 06-23 Permit App: 05002119 Mechanical Fixtures 06/07/2005 16:01 5094841405 RR HEATING PAGE 01/01 Mechanical Permit Application Community Development Department City of A Building Division Spokane Phone: (509)688-0036; FAX: (509)888-0037 11707 E. Sprague Ave., Suite 106 / Valley for Inspections,call (509)688-0054 Spokane Valley, WA 99206 Project Address: 18910 E. 9th Ct. Permit Use: e --9,( ( CI Owner: Chris Dixon Phone(daytime contact): 922-9311 Mailing Address: 18910 E. 9th Ct. Spokane Valley,WA 99016 cut/ state zip code Contractor: R&R Heating License#: RRHEAA106BW Phone#: 484-1405 Mailing Address: 4019 E. Central Ave., Spokane,WA 99217 city state zlo code Description of Work #of units x Cost = Amount 1 Fuel burnin• appliance equal to or less than 100,000 X 12.00 n 0.00 ©Fuel burning appliance more than 100,000 -© 15.00 0 0.00 Unlisted appliance(additional charge) equal to or less than 400,000 50.00 a 0.00 Unlisted appliance(additional charge) more than 400,000 100.00 0.00 Used appliance(WSEC's min.AFUE rating) equal to or less than 400,000 50.00 0.00 = Used appliance(WSEC's min.AFUE rating) more than 400,000 100.00 0.00 Boilerlrafri•eration 1-100M BTU 12.00 0.00 8 Boiler/refrigeration 101-500M BTU 20.00 111 0.00 9 Boiler/refrigeration 501-1,000M BTU 25.00 0.00 10 Boiler/refrigeration 1,001-1.750M BTU 35.00 0.00 11 Boiler/refri•eration +1,750M BTU -Q 80.00 0 0.00 12 Gas log,gas insert,gas fireplace 10.00 0.00 13 Range 10,00 0.00 14 Dryer 10.00 0.00 15 Fuel burning water heater 10.00 0.00 16 Miscellaneous fuel burning appliance 10.00 0.00 17 Gas piping, (each outlet) 1.00 0.00 18 Duct systems 1 1 10.00 10.00 19 Ventilating fans 10.00 0.00 20 Air handler(does not include ducting) equal to or less than 10,0000 CFM 1 12.00 12.00 21 Air handler(does not include ducting) Greater than 10,000 CFM 15.00 0.00 22 Evaporative coolers 10.00 0.00 23 T •e I hood 50.00 0.00 24 Type II hood 10.00 0.00 25 Heat pump/air conditioner 0-3 ton 12.00 0.00 28 Air conditioner 3-15 ton 1 20.00 20.00 27 Air conditioner 15-30 ton 25.00 0.00 28 Air conditioner 30-50 ton 35.00 0.00 29 Air conditioner more than 50 ton 60.00 0.00 30 LPG storage tank 10.00 0.00 31 Wood or pellet stove/insert 10.00 0.00 32 Wood stove-free standin• 25.00 0.00 ®Repair&additions �® 1.5.00 El 0,00 Ventilation s - ems 12.00 0.00 35 Ventilation mechanical exhaust X 12.00 111 0.00 38 Incinerator-residence X 18.00 0.00 37 Incinerator-commercial X 22.00 = 0.00 Method of payment: 0 Cash 0 Check 0 Visa ❑ MasterCard Subtotal 42.00 Card#: ON FILE Processing Fee 35.00 Date: 617/2005 Expires: 6-Jun Total Permit Fee Due: 77.00 Authorized Signature: JUN 07 2005 17: 12 5094841405 PAGE.01