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2005, 03-22 Permit App 05000865 Furnace, Wtr Htr
6.....) ------- )S - LoS o Ile MECHANICAL PERMIT APPLICATION Community Development Department #ValkY Phone: (509) 688-0036; FAX: 509 688-0037 Building Division rru ( ) 11707 E. Sprague Avenue, Suite 106 For Inspections, Call(509)688-0054 Spokane Valley, WA 99206 Project Address: 3 9 C( .S - LCZ�e Zoo Permit Use:�ficse.nMeK f' /wr€C '1-WQi ltec{-� Owner: 6i i? r 11 C en - .)I✓-t iZ47r1 Phone(gaytlrrfe Contact): 0 r3 Mailing Address: ( ,--g / 5-- � - - Zq�( ' ckag e Oc.U(y n - y �-- Contractor: C f (�t/1 C Cit State Zip Code Lic nse#: A.Cl{f,dak 0/�� 3 Phone#: _ 92 p,Y6'6/ Mailing Address: / c//' (i_ , ') ,D 0/Lcupt e (J W (,,) 4 . e/6 City State Zip Cade DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT IIIFUEL BURNING APPLIANCE Equal to or less than 100,000 X $12,00 = /Z• Oct © FUEL BURNING APPLIANCE More than 100.000 Ell $15.00 mi © UNLISTED APPLIANCE Additional Fee E ual to or less than 400,000 X $50.00 is 4 UNLISTED APPLIANCE(Additional Fee) More than 400,000 1111 $100.00 II 5 USED APPLIANCE(WSEC min.AFUE rating) Equal to or less than 400,000 $50.00 6 USED APPLIANCE(WSEC min.AFUE rating) More than 400,000 $100.00 m 7 BOILER/REFRIGERATION 1-100M BTU X $12.00 II N BOILER/REFRIGERATION 101-500M BTU X $20.00 ril 9 BOILER/REFRIGERATION 501-1,000M BTU mi $25.00 1111 10 BOILER/REFRIGERATION 1,001-1 750M BTU $35.00 NBOILER/REFRIGERATION More than 1,750M BTU X $60.00 GAS LOG,GAS INSERT,GAS FIREPLACE M© $10.00 RANGE X $10.00 III DRYER MISX $10.00 III ® FUEL BURNING WATER HEATER $10.00 111 NMISC.FUEL BURNING APPLIANCE © $10.00 111 ® GAS PIPING(each outlet) X $1.00 e 18 DUCT SYSTEMS _ Ell. $10.00 N 19 VENTILATING FANS X $10.00 AIR HANDLER LDOES NOT include ductin• E.ual to or less than 10,000 CFM X $12.00 AIR HANDLER(DOES NOT include ducting) Greater than 10,000 CFM III $15.00 EVAPORATIVE COOLERS TYPE I HOOD X $10.00 1111 II $50.00 N TYPE II HOOD X $10.00 III 1111 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12.00 INI INAIR CONDITIONER 3-15 TON Ellin $2Q.00 Ell AIR CONDITIONER111 15-30 TON X $25.00 II AIR CONDITIONER 3450 TON X $35.00 • 29 AIR CONDITIONER More than 50 TON X $60.00 e 30 LPG STORAGE TANK © $10.00 31 WOOD OR PELLET STOVE/INSERT $10.00 32 WOOD STOVE-FREE STANDING X $25.00 N 33 REPAIR&ADDMONS • $15.00 is pi VENTILATION SYSTEMS $12.00 ® VENTILATION MECHANICAL EXHAUST $12.00 i IN INCINERATOR-RESIDENCE X $19.00 i 37 INCINERATOR-COMMERCIAL X $22.00 METHOD OF PAYMENT: SUBTOTAL Z Z .0 0 DATE: II ❑CASH 0 CHECK 0 VISA 0 MC I PROCESSING FEE $35.00 CARD#: /� �EX�^RES TOTAL PERMIT FEE DUE: ��. v AUTHORIZED SIGNATURE: AA) - -A,"jjJ-1U