2003, 09-10 Permit App: BLD-03-02434 Basement RemodelSpokane
...•`valley
Mechanical Permit Application
11707 East Sprague Avenue, Suite 106 509 - 688 -0036 - Phone
Spokane Valley, WA 99206
509 - 688 -0037 - Fax
PROJECT
ADDRESS:
DESCRIPTION OF WORK
PERMIT
USE:
OWNER:
X
PHONE (Daytime Contact):
MAILING ADDRESS:
AMOUNT
(street)
(city /state) (Z2)
CONTRACTOR:
LICENSE #:
MAILING ADDRESS:
PHONE #:
2
(street)
(city /state) (ZIP)
METHOD OF PA
❑ CASH ❑ C
DATE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
EXPIRES:
DESCRIPTION OF WORK
8 OF UNITS
X
COST
EQUALS
AMOUNT
1
FUEL BURNING APPLIANCE
= OR < 100,000
X
$15
2
FUEL BURNING APPLIANCE
> 100,000
X
$19
=
3
UNLISTED APPLIANCE (ADDITIONAL FEE)
= OR <400,000
X
$50
4
UNLISTED APPLIANCE (ADDITIONAL FEE)
> 400,000
X
$100
5
USED APPLIANCE (WSEC min. AFUE rating)
= or < 400,000
X
$50
6
USED APPLIANCE (WSEC min. AFUE rating)
> 400,000
X
$100
7
BOILER/REFRIGERATION
1 - 100M BTU
X
$15
=
8
BOILER/REFRIGERATION
101- 500M BTU
X
$28
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$39
10
BOILER/REFRIGERATION
1001 - 1,750M BTU
X
$57
=
11
BOILER/REFRIGERATION
+1750M BTU
X
$95
=
12
GAS LOG, GAS INSERT, GAS FIREPLACE
—
X
$10
=
13
RANGE
—
X
$10
=
14
DRYER
—
X
$10
-
15
FUEL BURNING WATER HEATER
—
X
$10
=
16
MISC FUEL BURNING APPL.
—
X
$10
=
17
GAS PIPING (ea. Outlet)
—
X
$1
=
18
DUCT SYSTEMS
—
X
$10
=
19
VENTILATING FANS
—
X
$10
20
AIR HANDLER (DOES NOT include ducting)
= OR < 10,000CFM
X
$12
=
21
AIR HANDLER (DOES NOT include ducting)
> 10,000 CFM
X
$19
=
22
EVAPORATIVE COOLERS
—
X
$10
23
TYPE I HOOD
—
X
$50
=
24
TYPE II HOOD
—
X
$10
25
HEAT PUMP /AIR CONDITIONER
0-3 TON
X
$12
=
26
AIR CONDITIONER
3-15 TON
X
$20
=
27
AIR CONDITIONER
15-30 TON
X
$25
=
28
AIR CONDITIONER
30 -50 TON
X
$35
=
29
AIR CONDITIONER
+50 TON
X
$60
30
LPG STORAGE TANK
—
X
$10
=
31
WOOD OR PELLET STOVE/INSERT
—
X
$10
32
WOOD STOVE - FREE STANDING
_
X
$25
=
KENT
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VISA '
SUBTOTAL:
PLUS PROCESSING FEE:
$35.00
TOTAL PERMIT FEE DUE:
EXPIRES:
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THESE PLANS MUST BE KEPT
ON THE JOB SITE
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