2013, 09-00 Permit App: BLD-2013-1797 Mechanical FixturesPermit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688 -0037
C Development www.spokanevalley.ore.com
Permit Application
Spokane
Valley
Community
Developme
Mechanical
❑ Commercial
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fik Residential [ , (1 0
SITE ADDRESS 17 50 Z. &tIdL)[A
56o73. 3242_.
B ut tld.a g:t owner
,4-37,
Name: D mono^ a
ge G K CovlS ! i
Phone:
Fax
Address:
City
State
Zip
Contractor
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Name: $r 4,,,/, e
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Phone:
Fax:
Address:
City
State
Zip
License No:
City Business License No:
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Name: ?AAA \
Phone:
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DESCRIPTION OF WORK
# OF UNITS
X
COST
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
x
$12.00
= TOTAL AMOUNT
I2
2
FUEL BURNING APPLIANCE
More than 100,000
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
F
X
f
. $15.00
$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)
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�
10
BOILER/REFRIGERATION
1,001 - 1,750M BTU
11
BOILER/REFRIGERATION
More than 1,750M BTU
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
13
RANGE
14
DRYER
X
$25.00
35.00
60.00
10.00
10.00
uiti I C
rr 4
I
X
$10.00
Ip
15
FUEL BURNING WATER HEATER
x
$10.00
10
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
17
GAS PIPING (each outlet)
2.
18
DUCT SYSTEMS
x
$1.00
2
x
$10.00
I0
19
VENTILATING FANS
3
x
$10.00
3D
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
X
$12.00
21
AIR HANDLER (DOES NOT include ductin.
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
10
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
$15.00
34
VENTILATION SYSTEMS
X
$12.00
35
VENTILATION MECHANICAL EXHAUST
X
$12.00
36
INCINERATOR - RESIDENCE
X
$19.00
37
INCINERATOR - COMMERCIAL
X
$22.00
METHOD OF PAYMENT:
DCASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
AUTHORIZED SIGNATURE:
DATE:
EXPIRES:
SUBTOTAL
PROCESSING FEE
TOTAL PERMIT FEE DUE:
8y
$35.00
REVISED 8/26/05