2007, 09-17 Permit App: 07003666 Water Heater, PipingCommunity Development
Mechanical Permit Application
Permit Center
11703 E Sprague Ave, Suite B -3
Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688 -0037
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❑ Commercial
PERMIT NUMBER: '1j Vc)
PERMIT FEE:
Residential
SITE ADDRESS: tT) Z(o E, v41.1 ) k o L G Val IN, uJ q _ L v i `o
Building Owner
Phone: r��� r
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Name: !�.� /_
Address: R` k_7C_Q x 2
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City: • 0 e; 1% e: U% A
Zip: //v 1 Jo
Contractor
Name:
Phone: Fax:
Address:
City: State:
Zip:
License No:
City Business Lic:
Contact
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Phone: SJ t�_IA 0))"S
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
$100.00
5
6
USED APPLIANCE (WSEC min. AFUE rating)
Equal to or less than 400,000
X
$50.00
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
11
BOILER/REFRIGERATION
1,001 - 1,750M BTU
X
$35.00
BOILER/REFRIGERATION
More than 1,750M BTU
X
$60.00
12
13
14
15
GAS LOG, GAS INSERT, GAS FIREPLACE
RANGE
DRYER
X
$10.00
X
$10.00
X
$10.00
FUEL BURNING WATER HEATER
X
$10.00
16
17
MISC. FUEL BURNING APPLIANCE
X
$10.00
GAS PIPING (each outlet)
X
$1.00
18
DUCT SYSTEMS
X
$10.00
19
20
21
22
23
24
25
VENTILATING FANS
X
$10.00
AIR HANDLER (DOES NOT include ducting)
AIR HANDLER (DOES NOT include ducting)
EVAPORATIVE COOLERS
TYPE I HOOD
Equal to or less than 10,000 CFM
Greater than 10,000 CFM
X
$12.00
X
$15.00
X
$10.00
X
$50.00
TYPE II HOOD
X
$10.00
26
27
28
HEAT PUMP /AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
0 -3 TON
X
$12.00
4 -15 TON
X
$20.00
15 -30 TON
X
$25.00
29
30
31
AIR CONDITIONER
30-50 TON
X
$35.00
AIR CONDITIONER
More than 50 TON
X
$60.00
LPG STORAGE TANK
X
$10.00
WOOD OR PELLET STOVE/INSERT
X
$10.00
32
33
WOOD STOVE - FREE STANDING
REPAIR & ADDITIONS
X
$25.00
x
$15.00
34
35
36
37
VENTILATION SYSTEMS
X
$12.00
VENTILATION MECHANICAL EXHAUST
INCINERATOR - RESIDENCE
X
$12.00
X
$19.00
INCINERATOR - COMMERCIAL
X
$22.00
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
SUBTOTAL
t
PROCESSING FEE
TOTAL PERMIT FEE DUE:
835.00