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2005, 02-04 Permit App: 05000339 Furnace e5 1 /'` MECHANICAL PERMIT APPLICATION Community Development Department 0" t Building Division Phone: (509) 688-0036; FAX: (509) 688-0037 11707 E. Sprague Avenue, Suite 106 For Inspections, Call (509) 688-0054 Spokane Valley, WA 99206 Project Address: ; , 'A / Permit Use: Owner: ,. ,MFAI �i " Phone (Daytime Contact): Mailing Address: ; _ _ ' City State Zip Code Contractor: License#: Phone#: Mailing Address: Crty State Zip Code DESCRIPTION OF WORK #OF UNITS _ X COST = _ TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 X $12 00 = 2 FUEL BURNING APPLIANCE More than 100.000 1 X $15.00 = 3 UNLISTED APPLIANCE(Additional Fee) Equal to or less than 400,000 X $50 00 = 4 UNLISTED APPLIANCE(Additional Fee) More than 400,000 `;,.., f ;i/ X $100.00 = 1; 1 5 USED APPLIANCE(WSEC min AFUE rating) Equal to or less than 400,000 k��,.'. J,,',1 X $50.00 _ `. _='•-- 6 USED APPLIANCE(WSEC min.AFUE rating) More than 400,000 X $100 00 _ _ 7 BOILER/REFRIGERATION 1-100M BTU X $12.00 = 8 BOILER/REFRIGERATION 101 -500M BTU X $20.00 = 9 BOILER/REFRIGERATION 501 -1,000M BTU X $25 00 = 10 BOILER/REFRIGERATION 1,001-1,750M BTU X $35.00 = 11 BOILER/REFRIGERATION More than 1,750M BTU X $60 00 = 12 GAS LOG,GAS INSERT,GAS FIREPLACE X $10 00 = 13 RANGE X $10 00 = 14 DRYER X $10 00 = 15 FUEL BURNING WATER HEATER X $10.00 = 16 MISC FUEL BURNING APPLIANCE , X $10.00 = 17 GAS PIPING(each outlet) X $1.00 = 18 DUCT SYSTEMS X $10.00 = 19 VENTILATING FANS X $10.00 = 20 AIR HANDLER(DOES NOT include ducting) Equal to or less than 10,000 CFM X $12.00 = 21 AIR HANDLER(DOES NOT include ducting) Greater than 10,000 CFM X $15.00 = 22 EVAPORATIVE COOLERS X $10.00 = 23 TYPE I HOOD X , $50 00 = 24 TYPE II HOOD X $10.00 = 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12 00 = 26 AIR CONDITIONER 3-15 TON X $20.00 = 27 AIR CONDITIONER 15-30 TON X $25.00 = 28 AIR CONDITIONER 30-50 TON X $35.00 = 29 AIR CONDITIONER More than 50 TON X $60.00 = 30 LPG STORAGE TANK X $10.00 = 31 WOOD OR PELLET STOVE/INSERT X $10 00 = 32 WOOD STOVE-FREE STANDING X $25.00 = 33 REPAIR&ADDITIONS X $15.00 = 34 VENTILATION SYSTEMS X $12.00 = 35 VENTILATION MECHANICAL EXHAUST X $12.00 = 36 INCINERATOR—RESIDENCE X $19.00 = 37 INCINERATOR—COMMERCIAL X $22.00 = METHOD OF PAYMENT: SUBTOTAL 0 CASH 0 CHECK 0 VISA 0 MC DATE- PROCESSING FEE $35.00 CARD r EXPIRES. TOTAL PERMIT FEE DUE: SR-� AUTHORIZED SIGNATURE