2004, 08-25 Permit App: BLD-04-07460 Mechanical FixturesT0'30dd GOSTVBP60S
City of
Spokane Valley
6S : E 6 17OWC b l, U10
Mechanical Permit Application Fax # 688-0037
Project
Permit
Address: 13005 E 28th
Use.
Owner. Rubin Streifel
Phone (daytime contact):
924-8781
Mailing Address SAME
street (city/state) zi )
Contractor: R&R Heating and AC, Inc,
License: RRHEAA10OBW
Mailing Address 4019 E Central Phone#: 4841405
Spokane, Wa 99217
(street) (city/state) zip
Description of Work
# of units
Cost =
Amount
1 Fuel burning appliance
- or < 100.000
X
15.00
0.00
2 Fuel burning appliance
> 100,000
X
1 19.00
0.00
3 Unlisted appliance additional chs a
- or < 400,000
X
50.00 =
0.00
4 Unlisted appiianoe additional charge)
> 400,000
X
100.00 -
0.00
5 Used appliance EC'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 Boller/refrigeration
1-100M BTU
X
15.00 =
0.00
8 Boiler/Wri eration
101-500M BTU
X
28.00
0.00
9 Boiler/re frf aretlon
501-1,000M BTU
X
39.00
0.00
10 Bo ile r/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 f re lece
-
X
10.00 a
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 Ducts stems
-
X
10.00 =
0.00
19 Vant,11ating fans
X
10.00 =
0.00
20 Air handler does not include ducting)
or < 10,000 CFM
X
12.00 =
000
21 Air handler does not include ducting
> 10,000 CFM
X
19.00 =
0.00
22 Evaporative coolers
-
X
1000 a
0.00
23 Type I hood
-
X
50.00
0.00
24 Type It hood
X
10.00 =
0.00
25 Heat pumptair conditioner
0-3 tons 1
X
12,00 =
1200.
26 Air conditioner
3-15 tons
X
20,00 =
0.00
27 Air conditioner
15-30 tons
X
25.00 =
0.00
28 Air 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 m
0.00
31 Wood or pellet stove/insert
-
X
10.00 a
0.00
32 Wood stove - free standinil
X
25.00
0.00
❑ Cash ❑ Check ❑ Visa ❑ MasterCard
Subtotal
12.00
Faked permits will only be accepted with payment of a major credit card
Plus Processing
Fee
35.00
Date: Expires:
Total Permit Fee
Due
47.00
Bankcard Number:
Authorized Signature:
T9/Z0 39dd 9NIiV3H dd
SB9Tb8b699
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V90Z/8T/80