2005, 07-22 Permit App: 05002493 AC 07/20/2005 09:50 5094841405 RR HEATING PAGE 01/01 11
Mechanical Permit A lic �� .� ? �� Community Development Department
City of A PPation
``L( Building Division
Spokane Phone: (509)688-0038; FAX: (509)688-0037 ,-, 11707 E. Sprague Ave., Suite 106
/ Valley for Inspections, call (509)688-0054 4l_'� .,L , Spokane Valley, WA 99206
Project Address: 4620 E. 15TH Permit Use:
Owner: DAVID MORRISON Phone(daytime contact): (509) 536-0885 i I
Mailing Address: 4620 E 15TH Spokane Valley WA 99212 I `'
city state zip code
Contractor: R&R Heating &A/C, Inc. License#: RRHEAA*106BW Phone#: 484-1405
Mailing Address: 4019 E. Central Ave. Spokane WA 99217
city state zio Code
Description of Work #of units` x Cost r. Amount
1 Fuel burning appliance equal to or less than 100,000 X 12.00_ = 0.00 I ,
2 Fuel burningappliance `
Pp more than 100,000 X + 15.00 0.00
3 Unlisted appliance(additional charge) ^ equal to or less than 400,000 X 50.00 = 0.00 i
4 Unlisted appliance(additional charge) more than 400,000 i X - 100.00, = 0.00 1
5 Used appliance(WSEC's min.AFUE rating) equal to or lees than 400,000 X 50.00 = 0.00
6 Used appliance(WSEC's min.AFUE rating) more than 400,000 X 100.00 = 0.00 `'
7 Boiler/refrigeration 1-100M BTU X 12.00 = 0,00 1
8 Boiler/refrigeration 101-500M BTU X 20.00 = 0.00
9 Boiler/refrigeration 501-1,000M BTU X 25.00 = 0.00
10 Boiler/refrigeration 1,001-1,750M BTU X 35.00 = 0.00
11 Boiler/refrigeration +1.750M BTU X 60.00 = 0.00
12 Gas log,gas insert,gas fireplace X 10.00 = 0.00
13 Range X 10.00 0.00
14 Dryer 1 X 10.00 = 0.00 I('I
15 Fuel burning water heater X 10.00 = 0.00 1
18 Miscellaneous fuel burning appliance X 10.00 = 0.00
17 Gas piping,(each outlet) X 1.00 = 0.00
18 Duct systems X 10.00 = 0.00
19Ventilating fans X 10.00 = 0.00
20 Air handler(does not include ducting) equal to or less than 10,0000 CFM X 12.00 = 0.00
21 Air handler(does not include ducting) Greater than 10,000 CFM X 15.00 = 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 Neat pump/air conditioner 0-3 ton 1 X 12.00 = 12.00 j
26 Air conditioner 3-15 ton X 20.00 = 0.00
27H Air conditioner 15.30 ton X 25.00 = 0.00 ;
28 Air conditioner 30-50 ton X 35.00 = 0.00 .1
29 Air conditioner more than 50 ton 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
33 Repair&additions X 15.00 = 0.00 I'
34 Ventilation systems X 12.00_ = 0.00
35 Ventilation mechanical exhaust X 1 12.00 = 0.00
36 Incinerator-residenceX 18.00 = 0.00 it I
37 Incinerator-commercial X 22.00_ = 0.00
Method of payment: ❑ Cash 0 Check 0 Visa 0 MasterCard Subtotal i
12.00 1
Card#: ON FILE Processing Fee 35.00
Date: Expires: Jun-06 Total Permit Fee Due: 1'
47.00
Authorized Signature: i I
I
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JUL 20 2005 11:03 5094841405 PAGE.01 1
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