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2004, 08-05 Permit App: BLD-04-07243 Furnace T O'30tid SOS t 1781760S LZ:OZ t'00Z b0 J(lts ,' w q74 -5 City of Spokane Valley Mechanical Permit Application Fax#688-0037 Project Permit Address: 12423 E 24th Use: Owner. Sue Wiley Phone(daytime contact): 999-2646 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 I 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 rating) -or<100,000 X 580.00 = 0-00 6 Used appliance(WSEC's min.AFUE rating) >400,000 X 100.00 = 0.00 . 7 Boiler/refrigeration 1-100M BTU X 15.00. = 0.00 8 Boller/refrigeration 101500M 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 Boiier/refrigeratkm +1,750M BTU . X 95.00 = 0.00 12 Gas log,gas insert,was 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) - X . 1.00 = 0.00 18 Duct systems - X 10.00 = 0.00 19 Ventilatingfans - X 10.00 = 0.00 20 Air 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 - X 10.00 = 0,00 25 Heat pump/air conditioner 0-3 tons X 12.00 = 0.00 28 Air conditioner 3-15 tons X 20.00 = ' 0.00 27 Air conditioner 1530 tons X 25.00 am 0.00 28 Air conditioner 30-50 tons X 35.00 = 0.00 29 Air conditioner +50 tons X 80.00 = 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 .�. oaf! ❑ Cash 0 Check ❑ Visa 0 MasterCard Subtotal 15.00 Faxed permits will only be accepted with payment Of a major credit card Plus Processing Fee 35.00 Date: Expires: Total Permit Fee Due 50.00 Bankcard Number. Authorized Signature: • t0/tO 39Cd ONI.L 3H elel SOStiBb60S Et:OT 0002/b0/B0