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2004, 05-24 Permit App: BLD-04-04435 Inserts, Piping
TO'3Jlid SOS TP8P60S T2:80 P00Z bZ ALJ • City of D - 4 33 Spokane Valley Mechanical Permit Application Fax#688-0037 Project Permit Address: 6906 E 10th Use: Owner: Lewis Pack Phone (daytime contact): 927-0665 Mailing Address SAME (street) ..._,_._,r- - (city/state) (zip) - Contractor: R&R Heating and AC, Inc. License: RRHEAA106BW Mailing Address 4019 E Central Phone#: 484-1405 Spokane, Wa 99217 (street) - (city/state) (zip) Description of Work _ #of units Cost = Amount 1 Fuel burning appliance .'or< 100,000 X 15.00 = 0.00 2 Fuel burning appliance > 100,000 X 19.00 = 0.00 3 Unlisted appliance(additional charge) -or<400,000 r X 50.00 = 0.00 4 Unlisted appliance(additional charge) >400,000 X 100.00 = 0.00 5 Used appliance1WSEC's min. AFUE rating) -or< 100,000 X 580.00 = 0.00 6 Used appliance(WSEC's min. AFUE rating) - >400,000 X 100.00 = 0.00 7 Boiler/refrigeration 1-100M BTU -� X 15.00 = 0.00 8 Boiler/refrigeration 101-500M BTU X • 28,00 = 0.00 . 9 Boiler/refrigeration 501-1,000M BTU X 39.00 = 0.00 10 Boiler/refrigeration 1,001-1,750M BTU, X 57.00 = 0.00 11 Boiler/refrigeration + 1,750M BTU X 95.00 = 0.00 • 12 Gas log, gas insert, gas fireplace - 2 X 10.00 = 20.00 13 Range - _ X 10.00 = 0.00 14 Dryer - . X 10.00 = 0.00 15 Fuel burning water heater _ - X 10.00 = 0.00 18 Miscellaneous fuel burning appliance - X 10.00 = 0.00 17 Gas piping, (each outlet) , - y 2 X 1.00 = 2.00 18 Duct systems . - X 10.00 = 0.00 19 Ventilating fans _ - X 10.00 = 0.00 20 Air handler(does not include ducting) -or< 10,000 CFM X 12.00 = 0.00 21 Air handler(does not include ducting) > 10,000 CFM X • 19.00 = 0.00 22 Evaporative coolers - X . 10.00 = 0.00 23 Type I hood - X 50.00 = 0.00 24 Type II hood - , X 10.00 = 0.00 25 Heat pump/air conditioner 0-3 tons X 12.00' = 0.00 26 Air conditioner 3.15 tons X 20.00 = , 0.00 27 Air conditioner 15-30 tons X 25.00 = 0.00 28 Air conditioner 30-50 tons.____. X 35.00 = 0.00 29 Air conditioner �`_+50 tons X 60.00 = 0.00 30 LPG storage tank - X 10.00 = • 0.00 31 Wood or pellet stove/insert ___ - X 10.00 = 0.00 32 Wood stove-free standing _ - X. 25.00 = 0.00 0 Cash 0 Check 0 Visa 0 MasterCard Subtotal 22.00 Faxed permits will only be accepted with payment of a major credit card Plus Processing • Fee 35.00 Date: Expires: Total Permit Fee � Due 57.00 • Bankcard Number: � � COA. A 4A1--l49S-" COCA r y • •. Authorized Signature: _ _ nek_V te- CJS- 1 TO/T0 3SVd 9NIPc/BH eld SOSt Bb60S 7:80 b09Z/bZ/S0