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2004, 01-27 Permit App: BLD-04-03471 Mechanical Fixtures' OF Sp(ITIokane ,,,,Walley 11707 East.Spragu2 Avenue, Suite 106 509-688-0036 - Phone Spokane Valley, WA 99206 509-688-0037 - Fax For Inspections, call 509-688-0054 Mechanical Permit Application PROJECT ADDRESS: jE V� PERMIT USE: COST EQUALS AMOUNT OWNER Y PHONE (Daytime Contact): MAILING ADDRESS: 2 FUEL BURNING APPLIANCE > 100,000 X (street) (city/state) - OR < 400,000 (ZIP) CONTRACTOR:%, l/�l� �� LICENSE #: oo � 6A -)l a cP MAILING ADDRESS: s .�-y PHONE #: S (j+6 u e Spy kAjvc v ry ctV /6 (street) (city/state) 6 USED APPLIANCE (WSEC min. AFUE rating) (ZIP) METHOD OF PAY DESCRIPTION OF WORK # OF UNITS X COST EQUALS AMOUNT 1 FUEL BURNING APPLIANCE - OR < 100,000 X $15 - 2 FUEL BURNING APPLIANCE > 100,000 X $19 - 3 UNLISTED APPLIANCE (ADDITIONAL FEE) - OR < 400,000 X $50 - 4 UNLISTED APPLIANCE (ADDITIONAL FEE) > 400,000 X $100 - 5 USED APPLIANCE (WSEC min. AFUE rating) - or < 400,000 X $50 - 6 USED APPLIANCE (WSEC min. AFUE rating) > 400,000 X $100 - 7 BOILER/REFRIGERATION 1 -100M BTU X $15 - 8 BOILERIREFRIGERATION 101- 500M BTU X $28 - 9 BOILER/REFRIGERATION 501-1,000M BTU X $39` - 10 BOILER/REFRIGERATION 1001-1,750M BTU X $57 - 11 BOILER/REFRIGERATION +1750M BTU X $95 - 12 GAS LOG, GAS INSERT, GAS FIREPLACE - X $10 - 13 RANGE - X $10 - 14 DRYER - X $10 - 15 FUEL BURNING WATER HEATER - X $10 - 16 MISC. FUEL BURNING APPL. - X $10 - 17 GAS PIPING (ea. Outlet) - X $1 - 18 DUCT SYSTEMS - X $10 - 19 VENTILATING FANS - X $10 - 20 AIR HANDLER (DOES NOT include ducting) - OR < 10,000CFM X $12 - 21 AIR HANDLER (DOES NOT include ducting) > 10,000 CFM X $19 - 22 EVAPORATIVE COOLERS - X $10 - 23 TYPE I HOOD - X $50 - 24 TYPE 11 HOOD - X $10 - 25 HEAT PUMP/ATR CONDITIONER 0-3 TON X $12 - 26 AIR CONDITIONER 3-15 TON X $20 - 27 AIR CONDITIONER 15-30 TON X $25 - 28 AIR CONDITIONER 30-50 TON X $35 - 29 AIR CONDITIONER +50 TON X $60 ` 30 LPG STORAGE TANK - X $10 - 31 WOOD OR PELLET STOVEANSERT - X $10 - 32 WOOD STOVE - FREE STANDING - X 1 $25 - MENT SUBTOTAL: PLUS PROCESSING FEE: $35.00 TOTAL PERMIT FEE DUE: ❑ CASH ❑ CHECK ❑ ❑ l = DATE: BANKCARD NUi IBEIL- AUTHORIZED SIGNATURE: EXPIRES: