2009, 03-20 Permit App: 09000670 Mechanical Fixture Permit Center C/- 67(r)
11707 E Sprague Ave,Suite 106 PERMIT NUMBER
s Spokane Valley,WA 99206
® (509)688-0036 FAX:(509)688-0037 PERMTI'FEE: `7) _
Community Development wnmr.saokanevaTlev org
Mechanical Permit Application 0 Commercialidential
SITE ADDRESS: ( S r.. • 141-4
BniliEngOwner j �-1 t`.'1--6 /'� c Li),3 - .
Name: v �`y�� l {�/ Phone:l23. j 1 Fax:
Address: G�Sv"'l e- CCC . City: J� l(.ct(tQ�/ Stat.: 4- riP' .21 Z
Contractor f�-. s. c - 14-Ea rtvt Ot Ire. Co!Ad f' .art6
Name: Phare: C).2 7.436 6 i S 00,4
Address: ' ii qt Z. 6- e a+0.t Cle,a C :et is- . (ja tifra State: LA, :,... rap: `9 'ii
License No: �`'40)10 0 ps i? City Business Lie: /
Name: Phone. _ -7aU --Z2,V, Co ft
DESCRIPTION OF WORK #OF UNITS X COST = TOTAL&MOUNT
1 FUEL BURNING APPLIANCE Equal to or less than 100,000 , ( X $12.00 = / z O a .
2 FUEL BURNING APPLIANCE More than 100.000 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 X $100.00 =
5 USED APPLIANCE(WSEC min.AFUE rating) Equal to or less than 400,000 X $50.00 =
6 ti USED APPLIANCE IWSEC!'SLR.AFUE r tin[i e Mark than 400,000 i X $100.00 ; = 1
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z[.s E -nom:-=.>at_Er-_&3er"~ i i -, ]milt R-I'l1 1 , - i 1
.,,-.:r .T.�r.,�r.-.-,.1-1 i 101 500$,4 Bre L i X 5nn vL _ !
n 1 nsa,l.E REFIRIDE-,-_ATION f -..a. !BTU+r v... _
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Y 1 of,L_.Y-TSJ!rPCIT,_ft_RA iCAI 1 501- 'e.000tvi DIV 1 A 1 $25.00 i = 1
1n 3 .. .E..P=-R..iERAT C-N 1 15E31 0M BTU U t S 135.00 { =
I EVlx ERREFRICER TLON t More than 1,750M BTU s - i X $60-00 , = 1
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32 1 1Y7 LUG,GAS iCilCR' 31il FIREPLACE e i[
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14 i DRYER 1% 1 Y $10.00 f
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1 15 i FUEL
BURNING WYClHEATER : v $10.00 1 -_
3
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Iit, 1 T+J:I +i„to-i l:-t n[i :!itNNf:A,FF;L_Z3NUL i 3 __ $10:300 ( = i
1
i
l 17 1 GAS PIPING(each outlet) i 1 x 1 St 00 - i
PIPING:vi0:•outlet)
! i t S L $in:" - 1
1 .l ! DUCT SYSTEMS + --_
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10,000
0
19 i llY_Siii
1 1+ A1 29 1 A!R!-tAN -Kf!tll-`N1 nl`19cte.n ctnnt Equal to or less TILS1i00 lHO i $.2.00
= i
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i L 3 AIR
HANDLER(DOES NOTss.w0vv uvwiyi ve__3:.than M i@ _r_
etea-, _.
l .. i FV„- tr-.?sE COOLERS I i X Z.10 00 _ tt;+L
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1
z ti f HEAT
i PUMP/AIR CONDITIONER Ci iT3 rnw. `
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Y 5;12_0:i3
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TON l1 X -
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'-i? i AIR PT shea'xiYt(':i.iCv ??d16-20Tit __=.hi
i 28 AIR COND.3TIOe E 50 TON l i Y i S:15.C.10 -
I
+Yki'+4:_+21L:3+JI'i:_i4 006.,:0 TON n i _ i .
29 ii i ill 32.i( -i2 More than 50 ION •- 69.03 1. = I
30 1 _
LPG_ ___._.._ i6666-- �....--- - - t. 1
r�P.T:OR PY?'i11I"elt.LS�1�!•iT t t 1 Y 0_EI = F
..,a Vv'00C) PELLET _ _
L. WOOD STOVE-FREES!WYLvi 1 zv w�......3 __.-....
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1.13 RE✓Aii i A131 F:F ION?i - _-«..__ t X - 5 15.00 -
31 T TIL TI _ I i•-53 E i i x 1 slZ,Uit
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4Ta Ti>3 :I'an£ -- -
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+ v•J eadie3:fe..R343 LPa- :1�..w)f✓4SSLi. i
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METHOD OF PAYMENT: 12
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