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2004, 09-24 Permit App: BLD-04-07758 Mechanical Fixtures .. i MECHANICAL PERMIT APPLICATION s atCity of Spokane Valley Community Development Department jjc BuildingDivision Wiley 11707 E. Sprague Avenue, Suite 106 .., Spokane Valley, WA 99206 Phone: (509) 688-0036;Fax: (509) 688-0037 FOR INSPECTIONS, CALL(509) 688-0054 Project Address: ( ?90.5' -n,�t 16--t-ii Permit Use: Owner: :Tei e..5 iQ'„cl 1,. Phone(Daytime Contact): q9`+-.:.5 '?c Mailing Address: i39©S df-agl'-t 16t41 Spc, its VC;t1c- W4 q R03 7 1 C' State Zip Code Contractor: 4'4 LA S YI b4£c-F, 1 #(, r License#:RO 4-(t '•fSR 0 Phone#: a :263,6- Mailing Address: f 0 t a 4/c.fr -i,. S4rc-'t- Stu �ef.,>j ii . City State Zip Code #OF TOTAL DESCRIPTION OF WORK _ UNITS X COST = /AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 . X $15.00 = / 5TTG Q 2 FUEL BURNING APPLIANCE More than 100,000 X $19.00 = 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 = USED APPLIANCE(WSEC min.AFUE 5 rating) Equal to or less than 400,000 X $50.00 = USED APPLIANCE(WSEC min.AFUE 6 rating) More than 400,000 X $100.00 = 7 BOILER/REFRIGERATION 1-100M BTU X $15.00 = 8 BOILER/REFRIGERATION 101-500M BTU X $28.00 = 9 BOILER/REFRIGERATION 501-1,000M BTU X $39.00 = 10 BOILER/REFRIGERATION 1,001-1,750M BTU X $57.00 = , 11 BOILER/REFRIGERATION More than 1,750M BTU X $95.00 = 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) l X $1.00 = 1 ,0 0 18 DUCT SYSTEMS i X $10.00 = 1 i(t 0 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 $19.00 = 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 I X $12.00 = ) .7. 0 `') 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 = © METHOD OF PAYMENT: SUBTOTAL ` ,3Ig,0 J ,CASH 0 CHECK 0 VISA 0 MC DATE: . PROCESSING FEE $35.00 EXPIRES: CARD#: I TOTAL PERMIT FEE DUE: 4UTHORIZED SIGNATURE: ' ' t/•,- 4r A � S►0 0