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2011, 12-29 Permit App: 11004119 Mechanical Fixtures
Permit Center *M��. 11707E Sprague Ave,Suite 106 ane Spokane Valley,WA 99206 PERMIT NUMBER: 11- LI I IDI Walley` (509)688-0036 FAX:(509)688-0037 ` Community Development www.spokanevallev.ore PERMIT FEE: Mechanical Permit Application ❑ Commercial [Residential SITE ADDRESS: 11 u 0 7 e 3 6 " Building Owner Name: i c;i2.�� 0.011- w V"(l Phone: Li-7 q_e 3 Fax: Address: t 1 Lt 65- L 6-1-4.---1-4.-- City: .5 Ptd v".0.,-- State: A Zip: �j /c ,,..66 Contractor((�� Name: IAF ( 1t- 1�(2c) Phone: LI g-a '7; 3 Fax: s--D,_ 5,3 S-6G SG Address: cS I? (i INA^((olti city: `7 p (c....4-\-.....61,- State: t✓,, Zip: `}2-/Z License No: P( 2 (>2(. 20 1.Q City Business Lic: Contact ` 2 Name: (\f‘ r`L 1�� C 12 G Phone: c,.12 7 33 3 DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AM 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 X $12.00 ,= , Jr.) 2 FUEL BURNING APPLIANCE More than 100,000 X $15.00 = 3 UNLISTED APPLIANCE(Additional 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 400,000 X $100.00 = 7 BOILER/REFRIGERATION 1-100M BTU X $12.00 = 8 BOILER/REFRIGERATION 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/REF N More than 1,750M BTUX $60.00 = 12 GAS L , (GAS INSERT, AS FIREPLACE I X $10.00 = (©. op 13 RANGE X $10.00 = 14 DRYER X $10.00 = 15 F L BURNING WATER HEATER I X $10.00 __ (D-%0 16 MSI .FtfEE BURT 1 •-LIANCE ' X $10.00 = r 17 GAS PIPING(each outlet) -1 X $1.00 = `! 18 DUCT SYSTEMS X $10.00 = 19 VENTILATING FANS X $10.00 = 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 PUMP/AIR CONDITIONER 0-3 TON X $12.00 = 26 AIR CONDITIONER 4-15 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 LPG 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 = METHOD OF PAYMENT: SUBTOTAL ❑CASH 0 CHECK 0 VISA 0 MC EXPIRES: PROCESSING FEE $35.00 CARD#: VIN: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: REVISED 8/26/05