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2007, 06-11 Permit App: 07002222 Heat Pump, AC Permit Center •Sj Mkane 11707E Sprague Ave,Suite 106 7� p Spokane valley,WA 99206 PERMIT NUMBER: --7 PErn000* RMIT (509)688-0036 FAX:(509)688-0037 PERMIT FEE: 4-1 Community Development `°"'`vspokanevallev.ore Mechanical Permit vApplication El Commercial ❑ Residential SITE ADDRESS: 7 U E7 (/�� / LI C%+M C-7 • Building Owner / Name: S v' e p t�C;ti N16, 1 e_a__ Phone: 9'0/1.-c/- 63//:,, Fax: Address: / °,2 0,5-e L/04l- C7. City: 7 -i�r(- t,0,st iii J State: ,u4.4-- .,u4.4-- . Zip: ,72 L)6 Contractor G' Name: l (2 `" F C� Phone: L/ _ 7333 3 Fax: 9,)9 5 3 S z 6 5-6 Address: City: C>I')0 v 415----).- State: c.L, y� Zip: ,7 ,2i L � �1 `7 L 9)L/1 t 1 ()IL...,License No: /A I �Z �L-- -2c.U S 11 City Business Lic: Contact Name: -I� Phone: 9 c) %' _ 57 G/ DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 X $12.00 = 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 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/REFRIGERATION More than 1,750M BTU X $60.00 = 12 GAS LOG,GAS INSERT,GAS FIREPLACE X $10.00 = . 13 RANGE X $10.00 = 14 DRYER X $10.00 = 15 FUEL BURNING WATER HEATER X $10.00 = 16 MISC.FUEL BURNING APPLIANCE X $10.00 = 17 GAS PIPING(each outlet) 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 = /Zi ) 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 '1$35.00 CARD#: VIN: TOTAL PERMIT FEE DUE: -t �� �� AUTHORIZED SIGNATURE: REVISED 8/26/05