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2005, 03-22 Permit App: 05000852 Heat Pump, AC 0 cs.--____ gs„,..;_. MECHANICAL PERMIT APPCICATION Community Development Departmen ern a Building Divisior Phone: (509) 688-0036; FAX: (509) 688-0037 11707 E. Sprague Avenue, Suite 10E For Inspections, Call ( 09) 688-0054 Spokane Valley, WA 9920E Project Addres: 0 . a 9 ! • Permit Use: Owner: %' rA_v\rka 1 l o ✓1 0 vl Phone (Daytime Contact): ei,i 4 - b'A D 7 Mailing Address: 5 a vvt Q J11cl'ra.n, V11/ W el q(36()) ttyState Zip Code Contractor: III $ Ll • LA . . icense#: 1.41_30Al CC5 - • Phone#: <I hi, "311/ Mailing Address: l D-2 AJ , L06-tfSJ- Sic, p,,,, r11tf 1n) ,... Qgaci zp DESCRIPTION OF WORK #OF UNITS X COST l = 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 = • 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 = y 25 HEAT PUMP/AIR CONDITIONER 0-3 TON • \ X $12.00 = I C_, • 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 DATE: f 0 CASH 0 CHECK 0 VISA ❑MC PROCESSING FEE $35.00 CARD#: EXPIRES: TOTAL PERMIT FEE DUE: ")'7, AUTHORIZED SIGNATURE: