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2008, 10-14 Permit App 08004065 Mechanical FixturesSpokane ne ��Valley Community Development Mechanical Permit Application n Commercial Permit Center 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 permitcenter(snokanevalley.arg PERMIT NUMBER: PERMIT FEE: L� Residential SITE ADDRESS: (d 1 1-1 N , T -1 my a 1Zc-\- • Building Owner Name: n _ l L- 01 nl t -sr-t/Lii Phone: ,ems N,E, ,. a 9 1 2 Fax: Address: , O 1-4 M. F 1 9 1 City: 5'Prtln r Stater Zip: C� 1"C 1 io Contractor Name: Phone: Fax: Address: City: State: Zip: License No: City Business Lic: Contact Name: Phone: DESCRIPTION OF WORK # OF UNITS x COST = TOTAL AMOUNT 2 3 4 5 6 7 8 FUEL BURNING APPLIANCE FUEL BURNING APPLIANCE UNLISTED APPLIANCE (Additional Fee) UNLISTED APPLIANCE (Additional Fee) USED APPLIANCE (WSEC min. AFUE rating) USED APPLIANCE (WSEC min. AFUE rating) BOILER/REFRIGERATION BOILER/REFRIGERATION Equal to or less than 100,000 More than 100,000 Equal to or less than 400,000 More than 400,000 Equal to or less than 400,000 More than 400,000 1 - 100M BTU 101 - 500M BTU X X X X X $12.00 $15.00 $50.00 $100.00 $50.00 $100.00 $12.00 $20.00 9 BOILER/REFRIGERATION 501 - 1,000M BTU $25.00 10 11 12 13 BOILER/REFRIGERATION BOILER/REFRIGERATION GAS LOG, GAS INSERT, GAS FIREPLACE RANGE 1,001 - 1,750M BTU More than 1,750M BTU X X $35.00 $60.00 $10.00 $10.00 14 DRYER X $10.00 15 16 17 18 FUEL BURNING WATER HEATER MISC. FUEL BURNING APPLIANCE GAS PIPING (each outlet) DUCT SYSTEMS 1 X X X X $10.00 $10.00 $1.00 $10.00 19 VENTILATING FANS X $10.00 20 21 22 AIR HANDLER (DOES NOT include ducting) AIR HANDLER (DOES NOT include ducting) EVAPORATIVE COOLERS Equal to or less than 10,000 CFM Greater than 10,000 CFM X 23 TYPE IHOOD $12.00 $15.00 $10.00 $50.00 24 TYPE II HOOD X $10.00 25 26 HEAT PUMP/AIR CONDITIONER AIR CONDITIONER 0-3 TON 4-15 TON X X $12.00 $20.00 27 28 29 30 31 32 33 AIR CONDITIONER AIR CONDITIONER AIR CONDITIONER LPG STORAGE TANK WOOD OR PELLET STOVE/INSERT WOOD STOVE - FREE STANDING REPAIR & ADDITIONS 15-30 TON 30-50 TON More than 50 TON X X X X X X $25.00 $35.00 $60.00 $10.00 $10.00 $25.00 $15.00 34 VENTILATION SYSTEMS X $12.00 35 36 VENTILATION MECHANICAL EXHAUST INCINERATOR - RESIDENCE x $12.00 $19.00 37 INCINERATOR - COMMERCIAL METHOD OF PAYMENT: ❑CASH ❑ CHECK ❑ VISA ❑ MC CARD #: AUTHORIZED SIGNATURE: REVISED 8/26/05 EXPIRES: VIN: SUBTOTAL $22.00 PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: