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2005, 04-27 Permit App 05001348 Wtr HtrSp 1 ems'` .0 -a11ey 11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone Spokane Valley, WA 99206 Mechanical Permit Application 509-688-0037 - Fax i'KVJECT y�J ADDRESS: / D �/ 7 f `�-��%S%L .2/4- PERMIT USE: OWNER: PHONE (Daytime Contact): /2/ 7 r/' f i' I MAILING ADDRESS: (street) (city/state) (ZIP) CONTRACTOR: / ; ,/ p /�'� „ al, LICET=#:1 .3Gs p g / MAILING ADDRESS: r/ PHONE ,,C 770 (42.A.1)-6-1 7)f?-- e_-.Pil- .?)" 8 I `7( _.,-.0 (street) (city/state) (ZIP) METI-TOD OF PA ❑ CASH ❑ CI - DESCRIPTION OF WORK 0 OF UNITS X COST EQUALS AMOUNT 1 FUEL BURNING APPLIANCE - OR < 100,000 X $15 - 2 FUEL BURNING APPLIANCE > 100,000 X 519 3 UNLISTED APPLIAN E (ADDITIONAL FEE) • OR <400,000 X $50 - 4 UNLISTED APPLIANCE (ADDMONAL FEE) > 400,000 X 5100 • 5 USED APPLIANCE (WSEC min. AFUE rating) • or <400,000 X 550 - 6 USED APPLIANCE (WSEC min. AFUE rating) > 400,000 X 5100 - 7 B BOILER/REFRIGERATION 1 - 100M BTU X $15 - 8 BOILER/REFRIGERATION 10I - 500M BTU X $28 - 9 BOILER/REFRIGERATION 501- 1,000M BTU X 539 • 10 BOILER/REFRIGERATION 1001 - 1,750M BTU X $57 - 11 BOILER/REFRIGERATION +1750M BTU X $95 - 12 GAS LOG, GAS INSERT, GAS FIREPLACE - X 510 - 13 RANGE - X $10 • 14 DRYER - X $10 - 15 FUEL BURNING WATER HEATER - X $10 - / ® SC 16 MISC FUEL BURNING APPL. - X 510 - 17 GAS PIPING (ea. Outlet) - X 51 - 18 DUCT SYSTEMS - X 510 - 19 VENTILATING FANS - X 510 • 20 AIR HANDLER (DOES NOT Include ducting) - OR < 10,000CFM X 512 - 21 AIR HANDLER (DOES NOT Include ducting) > 10,000 CFM X 519 - 22 EVAPORATIVE COOLERS - X 510 - 23 TYPE I HOOD - X 550 - 24 TYPE II HOOD - - X 510 • 25 HEAT PUMP/AIR CONDITIONER • 0-3 TON X 512 • 26 AIR CONDMONER 3-15 TON X 520 - 27 AIR CONDITIONER 15-30 TON X 525 • 28 AIRCONDITIONER 30-50TON X 535 - 29 AIR CONDITIONER +50 TON X 560 - 30 LPG S STORAGE TANK -- X 510 - 31 WOOD OR PELLETSTOVE/INSERT - X 510 • 32 WOOD STOVE - FREE STANDING - X 525 • r1ENT ^„ SUBTOTAL: PLUS PROCESSING FEE: $35.00 r , ' y ` : It , t TOTAL PERMIT FEE DUE: /`1 �. - b(1 u DATE: EXPIRES: BANKCARD NUMBER AUTI-IORIZED SIGNATURE: