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2004, 11-15 Permit App 04009079 Change Oil to GasProject Number: 04009079 Inv: 7 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Site Information: Plat Key: 000000 Name: unknown District: G Date: 11/15/2004 Page 1 of 2 Permit Use: CHANGE OIL TO GAS - FURNACE & PIPING Contact: SCHIMMELS, MIKE & CAROL Address: 5713 S MOHAWK DR C - S - Z: SPOKANE, WA 99206-8314 Setbacks: Front Left: Right: Rear: Phone: (509) 993-2249 Group Name: Project Name: Parcel Number: 55063.0203 Block: SiteAddress: 3700 N FLORA RD Location:: SPO Zoning: I-2 Light Industrial Water District 999 UNKNOWN Area: 1,341.00 Acres Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Plan Review Lot: Owner: Name: SCHIMMELS, MIKE & CAROL Address: 5713 S MOHAWK DR SPOKANE, WA 99206-8314 Hold: ❑ Depth: 0 Right Of Way (ft): 0 Contractor: PJ'S PLUMBING & HEATING Address: 14924 N SHADY SLOPE RD SPOKANE, WA 99208 Item Description GAS APPLIANCE<=100,000BTU GAS PIPING PROCESSING FEE Mechanical Permit Firm: PATRICK DELAPENA/PJ'S PLMB Phone: Units Unit Desc 1 NUMBER OF 1 # OF UNITS 1 SELECT Permit Total Fees: (509) 465-0681 Fee Amount $12.00 $1.00 $35.00 $48.00 Operator: DMD Printed By: DMD Print Date: 11/15/2004 Project Number: 04009079 Inv: I Notes: Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Permit Type Mechanical Permit Fee Amount Invoice Amount $48.00 $48.00 Amount Paid $0.00 Date: 11/15/2004 Page 2 of 2 Amount Owing $48.00 $48.00 $48.00 $0.00 $48.00 Disclaimer: Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information contained within to be true and correct, and agrees that all provisions ()flaws and/or regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: DMD Printed By: DMD Print Date: 11/15/2004 CI? zO3 v` R-2r `ne solalleY Project Address: MECHANICAL PERMIT APPLICATION Phone: (509) 688-0036; FAX: (509) 688-0037 For Inspections, CaII (509) 688-0054 F-6 c'+- Owner: < iL t?'; c v-1-11 1 k- ✓t c -rr rj M Mailing Address: Community Development Department Building Division 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Permit Use: Phone (Daytime Contact): Contractor: 2 T '` (1-)G `z " l b Mailing Address: i i' - Sri/a /.:t City License #: r.‘ 5 ?L t-k 7 K-Z' State Zip Code Phone#: c"a`f -6?s•Ci- State Zip Code 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 S100.00 = 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/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 = 26 AIR CONDITIONER 3-15 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 515.00 = 34 VENTILATION SYSTEMS X $12.00 = 35 VENTILATION MECHANICAL EXHAUST X 512.00 = 36 INCINERATOR - RESIDENCE X 519.00 = 37 INCINERATOR - COMMERCIAL X $22.00 = METHOD OF PAYMENT: ElCASH 0 CHECK 0 VISA ❑ MC ("AM') #. DATE: SUBTOTAL PROCESSING FEE 535.00 EXPIRES: TOTAL PERMIT FEE DUE: �J• �% �i L� AUTHORIZED SIGNATURE: