2005, 11-01 Permit Application: 05004111 Wood StoveSpokan ee
�j'Va11ey
Community Development
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688 -0037
www.spokanevalley.org.com
Mechanical Permit Application n Commercial
PERMIT NUMBER: - ( f
PERMIT FEE: (.00
Residential
SITE ADDRESS:
Building owner
Name: ( r e O wV t S
Phone: 1 Z1 'Z'J 3 Fax:
Address: 42)1 Z •/ e /44 .., A"
City: ' r-''l<t ■A, Qs_ State: f.A.9 A
Zip:cn'2 -( Z.
Contractor SE / ,c-
Name:
Phone: Fax:
Address:
City: State:
Zip:
License No:
City Business License No:
Contact
Name:
Phone:
DESCRIPTION OF WORK
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
# OF UNITS
X
COST
= TOTAL AMOUNT
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 $100.00
5
USED APPLIANCE (WSEC min. AFUE rating)
Equal to or less than 400,000
X $50.00
6
USED APPLIANCE (WSEC min. AFUE rating)
7
BOILER/REFRIGERATION
8
BOILER/REFRIGERATION
9
BOILER/REFRIGERATION
10
BOILER/REFRIGERATION
11
BOILER/REFRIGERATION
12
GAS LOG, GAS INSERT, GAS FIREPLACE
13
RANGE
14
DRYER
15
FUEL BURNING WATER HEATER
16
MISC. FUEL BURNING APPLIANCE
17
GAS PIPING (each outlet)
18
DUCT SYSTEMS
19
VENTILATING FANS
20
AIR HANDLER (DOES NOT include ducting)
More than 400,000
1 - 100M BTU
101 - 500M BTU
501 - 1,000M BTU
1,001 - 1,750M BTU
More than 1,750M BTU
Equal to or less than 10,000 CFM
X $100.00
X
$12.00
X
$20.00
X
$25.00
X
$35.00
X
$60.00
X
$10.00
X
$10.00
X
$10.00
X
$10.00
X
$10.00
X
$1.00
X
$10.00
X
$10.00
X $12.00
21
AIR HANDLER (DOES NOT include ducting)
22
EVAPORATIVE COOLERS
23
TYPE I HOOD
24
TYPE II HOOD
25
HEAT PUMP /AIR CONDITIONER
26
AIR CONDITIONER
27
AIR CONDITIONER
Greater than 10,000 CFM
0 -3 TON
3 -15 TON
15 -30 TON
X
$15.00
X
$10.00
X
$50.00
X
$10.00
X
$12.00
X
$20.00
X
$25.00
28
AIR CONDITIONER
30 -50 TON
X
$35.00
29
AIR CONDITIONER
30
LPG STORAGE TANK
31
WOOD OR PELLET STOVE /INSERT
32
WOOD STOVE - FREE STANDING
33
REPAIR & ADDITIONS
34
VENTILATION SYSTEMS
35
VENTILATION MECHANICAL EXHAUST
36
INCINERATOR - RESIDENCE
37
INCINERATOR - COMMERCIAL
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
AUTHORIZED SIGNATURE:
More than 50 TON
DATE:
EXPIRES:
X
$60.00
X
$10.00
X
$10.00
X
$25.00
z5
X
$15.00
X
$12.00
X
$12.00
X
$19.00
X
$22.00
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
REVISED 8/26/05