2003, 10-13 Permit App: BLD-03-02751 Furnace, Piping 10/10/2003 15:44 5094841505 RR HEATING PAGE 01/01
City of n
Spokane Valley Mechanical Permit Application Fax#688-0037 V 3 M 725
Project Permit
Address: 7406 E 11th 3S-9J,H,)30-3 Use:
Owner: Wendy Woods Phone(daytime contact):
927-3332
Mailing Address SAME
(street) (city/state) j ip)
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 1 X 15.00 = 15.00
2 Fuel burning appliance > 100,000 X 19.00 = 0.00
3 Unlisted appliance(additional charge) -or<400,000 X 50.00 = 0.00
4 Unlisted appliance(additional charge) >400,000 X 100.00 = 0,00
S Used appliance(WSEC'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 Boller/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 - X 10.00 = 0.00
13 Rade - X 10.00 = 0.00
14 Dryer - X 10,00 = 0.00
15 Fuel burning water heater - X 10.00 = 0.00
16 Miscellaneous fuel burning appliance - X 10.00 = 0.00
17 Gas piping, (each outlet) - 1 X 1.00 = 1.00
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
28 Alr 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 80.00 = 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
eL'
❑ Cash 0 Check 0 Visa 0 MasterCard Subtotal
16.00
Faxed permits will only be accepted with payment of a major credit card Plus Processing
Fee 35.00
Date: Expires: Total Permit Fee
Due 51.00
Bankcard Number:
Authorized Signature: c'2---- -------------"-
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