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2008, 03-04 Permit App: 08000682 Water Heater • . 0.° Permit Center T- cam* \� 11703 E Sprague Ave,Suite B-3 / '-��� Spokane Valley,WA 99206 PERMIT NUMBER: j"h (509)688-0036 FAX:(509)688-0037 PERMIT FEE: l J � Community Development www.spokanevallev.org Mechanical Permit Application ❑ Commercial N Residential SITE ADDRESS: I f 8 ;z2-. E i6- 4 - BuildingOwner 7 € ,;�Q Name: a K Phone: g Q(.-'7Go /a q(A,State: a/� Address: I/eg Z Z /c5 1,a)-e City see. -v VCA4'X( ,State: k Zip: 1 7 ?:, Contractor !'; A 1r� Name: e°f�- i7't " 4 ....K.2„,0465416,�7 Fax: (g) 7 C�'1 1 23 Address: 612 o to b City' A- State: �� Zip: i. / License No: C� City Business Lic: V sc-s9g64) Contact Name: \ , e- kl. Phone 11 , R) L,a-,‘,,(,i`7 cesoL c,4S zzo-J 78 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 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 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 = 0-©Q 16 MISC.FUEL BURNING APPLIANCE , X $10.00 = _ 17 GAS PIPING(each outlet) X $1.00 = 18 DUCT SYSTEMS X $10.00 = 19 VENTILATING FANSX $10.00 = 20 AIR HANDLER(DOES NOT include ducting) Equal to or less than 10,000 CFM X $12.00 = 21 AIR HANDLER JDOES 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 4-15 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 TANKX $10.00 = 31 WOOD OR PELLET STOVE/INSERT X $10.00 = 32 WOOD STOVE-FREE STANDING X $25.00 = 33 REPAIR&ADDITIONSX $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 l6,vv ❑CASH 0 CHECK ❑VISA 0 MC EXPIRES: PROCESSING FEE $35.00 CARD*: VIN: TOTAL PERMIT FEE DUE: V- .cav AUTHORIZED SIGNATURE: Effective 10-28-07 P:\Community Development\Forms\Building forms\Mechanical Permit Applicationdoc