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2004, 08-19 Permit App: BLD-04-07479 Mechanical Fixtures Te'30Ud SOSTP81760S TS:60 1700d 6ti U[C City of Spokane Valley Mechanical Permit Application Fax#688-0037 Project Permit Address: 11810 E 18th Use: Owner: Craig Eggleston Phone(daytime contact): 995-1378 Mailing Address SAME (street) (city/state) (zip) Contractor: R&R Heating and AC,Inc. License: RRHEAA1089W Mailing Address 4019 E Central Phone#: 484-1405 Spokane,Wa 99217 (street) (city/state) (zip) Description of Work #of units = Amount 1 Fuel burning appliance -or<100,000 1 X ' 15.00 = 15.0Q 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 5 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 Boller/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 Boller/refrigeration - +1,750M BTU X 95.00 = 0.00 12 Gas log,gas insert,gas fireplace - X 10.00 = 0.00 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) - X 1.00 = 0.00 18 Dud 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 is 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 80.00 = , 0.00 30 LPG storage tank - X 10.00 = 0.00 31 Wood or pellet stovefinsert - X 10.00 = 0,00 32 Wood stove-free standing - X 1 25.00 = 0.00 0 Cash 0 Check 0 Visa 0 MasterCard Subtotal 15.00 Fenced permits will only be accepted with payment of a major credit card Plus Processing 'Fee 35.00 Date: Expires: Total Permit Fee Due 50.00 Bankcard Number. Authorized Signature: L '7 (1�� - TO/T0 3E d 9NIlG3H ?lel SOSTb8060S 9E:60 b00Z/6T/80