2004, 08-06 Permit App: BLD-04-07287 Furnace, AC TO'3Jtid SOSTPBb60S ES:17T b00Z SO 9fld
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City of
Spokane Valley Mechanical Permit Application Fax#688-0037
Project Permit
Address: 11601 E 25th Use:
Owner. Gary Faire Phone(daytime contact):
926-7313
Mailing Address SAME
(street) (city/state) (ziP)
Contractor: R&R Heating and AC,Inc. License: RRHEAA106121W
Mailing Address 4019 E Central Phone#: 484-1405
Spokane.Wa 99217
(street) (city/state) (zip)
Description of Work #of units Cost as 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
6 Used appliance(WSEC's min.AFUE rating) -or<100,000 X 580.00 = 0.00
8 Used appliance(WSEC's min.AFUE rating) >400,000 X 100.00 s 0.00
7 Boiler/refrigeration 1-100M BTU X 15.00 = 0.00
8 Boiler/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 log.gas 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) - x 1,00 = o.00
18 Duct systems - X 10.00 = 0.00
19 Ventilating fans - X 10.00 = 0.00
20 Air handler(does not include ducting) -or<10,000 CFM X 12.00 = 0.00
21 Air handier(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 Typo II hood - X 10.00 = 0.00
25 Heat pump/air conditioner 0-3 tons 1 X 12.00 = 12.00
26 Alr conditioner 3-15 tons , X 20.00 = 0.00
27 Air conditioner 15-90 tons X 25.00 = 0.00
28 Air conditioner 30-50 tons X 35.00 ' 0.00
29 Air conditioner +50 tons X 80.00 a 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 a 0.00
❑ Cash 0 Check CI Visa ❑ MasterCard Subtotal
27.00
Faxed permits win only be accepted with payment of a major credit card Plus Processing
Fee 35.00
Date: Expires: Total Permit Fee
Due 62.00
Bankcard Number:
Authorized Signature:
TO/TO 39t7d 9NI1173H Zld SOSttU81760S 6E:17T 1700Z/S2/80