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2004, 01-08 Permit App: BLD-04-03385 Mechanical Fixtures
01/08/2004 10:22 5094841505 RR HEATING PAGE 01 City of Spokane Valley Mechanical Permit Application Fax#688-0037 Project Permit --- Address: 14306 E 16th Use: (4 - 3j Owner: Greg Dickson Phone (daytime contact): • 533-0254 Mailing Address SAME (street) city/state) (zip) Contractor: R&R Heating and AC, Inc. License: RRHEAA106BW Mailing Address 4019 E Central Phone#: 484-1405 Spokane,Wa 99217 (street) (city/state) (zip) Description of Work #of units Cost = Amount 1 Fuel burning appliance -or< 100,000 1 X 15.00 = 15.00 2 Fuel burning appliance > 100,000 X 19.00 = 0.00 3 Unlisted appliance(additional charge) -or<400,000 X 50.00 = 0.00 4-Unlisted appliance(additional charge) >400,000 X 100.00 = 0.00 5 Used appliance(WSEC's min.AFUE ratirj) -or< 100,000 X 580.00 = 0.00 6 Used appliance(WSEC's min.AFUE rating) >400,000 X 100.00 = 0.00 7 Boller/refrigeration 1-100M BTU X 15.00 = 0.00 8 Boller/refrigeration 101-500M BTU X 28.00 = 0.00 9 Boiler/refrigeration 501-1,000M BTU X 39.00 = 0.00 10 Boiler/refrigeration 1,001-1,750M BTU X 57.00 = 0.00 11 Boiler/refrigeration + 1,750M BTU X 95.00 = 0.00 12 Gas lo, Jas Insert, gas fireplace - X 10.00 = 0.00 13 Range - X 10,00 = 0.00 14 Dryer - _ X 10.00 = 0.00 15 Fuel burning water heater - X 10.00_ = 0.00 16 Miscellaneous fuel burning appliance - X 10.00 = 0.00 17 Gas piping, (each outlet) - - 1 X 1.00 = 1.00 • 18 Duct systems - X 10.00 0.00 19 Ventilating fans - X 10.00 = 0.00 20 Alr handler(does not include ducting) -or< 10,000 CFM X 12.00 = 0.00 21 Air handler(does not Include ducting) > 10,000 CFM X 19.00 = 0.00 22 Evaporative coolers - , X 10.00 = 0.00 23 Type I hood - X 50.00 = 0.00 24 Type II hood - 1 X 10.00 = 0.00 25 Heat pump/air conditioner 0-3 tons 1 X 12.00 = 12.00 26 Air conditioner 3-15 tons X 20.00 = 0.00 27 Air conditioner 15-30 tons X 25.00, = 0.00 28 Alr conditioner 30-50 tons X 35.00 = 0.00 29 Air conditioner +50 tons X 60.00 - 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 0 Cash 0 Check 0 Visa 0 MasterCard Subtotal 28.00 Faxed permits will only be excepted with payment of a major credit card Plus Processing Fee 35.00 Date: Expires: Total Permit Fee Due 63.00 • Bankcard Number. Authorized Signature: JAN 05 2004 09 36 5094841505 PAGE.01