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2003, 10-29 Permit App: BLD-03-02926 Mechanical Fixtures
1.111111% can't t0� 11707 East Sprague Avenue,Suite 106 509-688-0036-Phone pone Spokane Valley/1/VA 99206 509-688-0037-Fax ,,,0 Valley Mechanical Permit Application PROJECT PERMTT ADDRESS: 1 3 ( '2 / / T h-- USE: OWNER: " D C/ (�/� ;b a_ry iu PHONE(Daytime Contact): MAILING ADDRESS: SC.,k ili-e_ Ce--- (street) (city/state) (ZIP) CONTRACTOR: LICENSE#: 4L1 cki ivi 3 044- co--MAILING ADDRESS: -• PHONE#: 2. 3 -- c, z. iiL Si f4Sr17 £%.cr-t f__,,A (street) (city/state) (ZIP) DESCRIPTION OF WORK #OF UNITS X COST EQUALS AMOUNT 1 FUEL BURNING APPLIANCE =OR<100,000 X ' $15 = 2 FUEL BURNING APPLIANCE >100,000 i X $19 = 3 UNLISTED APPLIANCE(ADDITIONAL FEE) =OR<400,000 X $50 = 4 UNLISTED APPLIANCE(ADDITIONAL FEE) >400,000 X $100 = 5 USED APPLIANCE(WSEC min.AFUE rating) -or<400,000 X • $50 _ 6 USED APPLIANCE(WSEC min.AFUE rating) >400,000 X $100 7 BOILER/REFRIGERATION 1-100M BTU X $15 - B BOILER/REFRIGERATION 101-500M BTU X $28 - 9 BOILER/REFRIGERATION 501-1,000M BTU X $39 10 BOILER/REFRIGERATION 1001-1,750M BTU X $57 = 11 BOILER/REFRIGERATION +1750M BTU X $95 = 12 GAS LOG,GAS INSERT,GAS FIREPLACE - X $10 = 13 RANGE - X $10 14 DRYER - X $10 = 15 FUEL BURNING WATER HEATER - ` - X $10 = 16 MISC FUEL BURNING ADPL. - - X - $10 = - 17 GAS PIPING(ea.Outlet) - 2_,. X $1 = 18 DUCT SYSTEMS - X $10 = 19 VENTILATING FANS - X $10 = • 20 AIR HANDLER(DOES NOT indude ducting) =OR<10,000CFM X $12 = 21 AIR HANDLER(DOES NOT include ducting) >10,000 CFM X $19 = 22 EVAPORATIVE COOLERS - X $10 _ _ 23 TYPE I HOOD - X $50 = 24 TYPE II HOOD - X $10 = 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12 = 26 AIR CONDITIONER 3-15 TON X $20 - 27 AIR CONDITIONER 15-30 TON X $25 = 28 AIR CONDITIONER 30-50 TON X $35 29 AIR CONDITIONER +50 TON X $60 = 30 LPG STORAGE TANK - X $10 31 WOOD OR PELLET STOVE/INSERT - X $10 = 32 WOOD STOVE-FREE STANDING - X $25 = SUBTOTAL: METHOD OF PAYMENT PLUS PROCESSING FEE: $35.00 IMMO VISA • pv €� TOTAL PERMIT FEE DUE: ❑ CASH ❑ CHECK ❑ IMMO ❑ ; -.:.1. DATE: EXPIRES: BANKCARD NUMBER: AUTHORIZED SIGNATURE: