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2006, 02-10 Permit App 06000412 Wtr HtrS �k Val ley Community Development Permit Center 11707 E Sprague Ave, Suite 106 A ' Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 www spokancvallev org Mechanical Permit Application n Commercial PERMIT NUMBER: 04 PERMIT FEE: -7 1' Residential SITE ADDRESS: t.(7`i Building Owner Name. Ni )�t�1tL Phone(4 y) f 91 ri� Fax: Address. 1 b 09 C t7, co �. k t., j�� City: 5 _c yle 11 e ram(! L�: State WI/ Zip: �6 Contractor J Name: Phone: Fax: Address: City: State: Zip: License No: City Business Lic: Contact Name: Phone: DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 2 3 4 5 6 7 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 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 X X X x X X X $12.00 $15.00 $50.00 $100.00 $50.00 $100.00 $12.00 8 BOILER/REFRIGERATION 101 - 500M BTU X $20.00 9 10 11 12 13 BOILER/REFRIGERATION BOILER/REFRIGERATION BOILER/REFRIGERATION GAS LOG, GAS INSERT, GAS FIREPLACE RANGE 501 - 1,000M BTU 1,001 - 1,750M BTU More than 1,750M BTU X X X X X $25.00 $35.00 $60.00 $10.00 $10.00 14 DRYER X $10.00 15 16 17 18 FUEL BURNING WATER HEATER MISC. FUEL BURNING APPLIANE GAS PIPING (each outlet) DUCT SYSTEMS k x X X X $10.00 $10.00 $1.00 $10.00 2 - ' c) 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 X X $12.00 $15.00 $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 32 33 WOOD OR PELLET STOVE/INSERT WOOD STOVE - FREE STANDING REPAIR & ADDITIONS X X X $10.00 $25.00 $15.00 34 VENTILATION SYSTEMS X $12.00 35 36 VENTILATION MECHANICAL EXHAUST INCINERATOR - RESIDENCE X X $12.00 $19.00 37 INCINERATOR - COMMERCIAL X $22.00 METHOD OF PAYMENT: ❑CASH ❑ CHECK ❑ VISA ❑ MC CARD #: AUTHORIZED SIGNATURE: REVISED 8/26/05 EXPIRES: VIN: SUBTOTAL PROCESSING FEE Z,CU $35.00 TOTAL PERMIT FEE DUE: y 7. 00