2009, 01-27 Permit App: 09000158 Mechanical Fixtures C-
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11707 E Sprague Ave,Suite 106 PERMIT NUMBER
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aluJ L,�, Spokane Valley,WA 99206
Yc � (509)688-0036 FAX:(509)688-0037 PERMIT FEE: 47.3 .
Community Development www.spokanevallev orz
Mechanical Permit Application ❑ Commercial 'y"Residential
srrE DADRESS: AT[ l 2 0
Building Owner 0 614
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Name: P ��/'l�^700:97..
Address: ft< z > ( ()r City: c.E r,(e I/ State:�4_ Zip:co�']
Contractor/ `4.... ." if f4 Vi K 040,0 f . 'Co!Ad tittariA.f.
Name: q27 43,51,5 { S Ct i
Address: ' VIII �g e. -i-r,.,f l fit'' - t64-x, Vile , State: 4-- �: .;,'-?,_41..4
License No: go,He AR" U F.a ? City Business I.ac:
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Name: 7iU -2-7-4/6/ C e// -
DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT
1 FUEL BURNING APPLIANCE Equal to or less than 100.000 ( X $12.00 = / 2.V L7
2 FUEL BURNING APPLIANCE More than 100,000 X $15.00 =
3 UNLISTED APPLIANCE(Adrfitional 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 400000 X $100.00 =
7 BOILER/REFRIGERATION 1-100M BTU X $12.00 =
8 TION 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 =
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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 =
25 HEAT PUiv&/Atli CONDITIONER 0-3 TON ( X $12.00 = (�r f2 U
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 IPG 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 = (f
METHOD OF PAYMENT: SUBTOTAL 2Y;(20
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OCASH O CHECK O VISA OMC EXPIRES: PROCESSING FEE $35.00
CARD# �N TOTAL PERMIT FEE DUE: ,..5-fc)D
AUTHORIZED SIGNATURE: .
REVISED aasros