2006, 03-28 Permit App: 06001057 Wood Stove_ Permit Center
Spokane 11707 E Sprague Ave, Suite 106
®.0Ualley
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www snnkanevallev.org
Mechanical Permit Application
PERMIT NUMBER: /t5 7
PERMIT FEB: 4'S ,,
Commercial Residential
SITE ADDRESS:
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Building Owner 4,4,,e,179 -f /7.e
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- Phone: 9�7 Jcc�
Name. �� Cy/„
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Fax:
Address:
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Zip: ,Q/%
Contractor -
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Name:
- Phone:
Fax:
Address:
- City: -
State:
Zip:
License No:
City Business Lie:
Contact ".. .
. - .- - .
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Name:
Phone:
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
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
$25 00
10
BOILER/REFRIGERATION
1,001 - 1,750M BTU
X
$35 00
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
560.00
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
$10.00
13
RANGE
X
$10 00
14
DRYER
X
$10.00
15
FUEL BURNING WATER HEATER
X
$10 00
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
17
GAS PIPING (each outlet)
X
$1.00
18
DUCT SYSTEMS
X
$10.00
19
VENTILATING FANS
X
$10.00
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
X
$12.00
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10,000 CFM
X
$15.00
22
EVAPORATIVE COOLERS
X
$10 00
23
TYPE I HOOD
X
550.00
24
TYPE II HOOD
X
$10.00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X•
51200
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
560.00
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
X
515.00
34
VENTILATION SYSTEMS
X
$12.00
35
VENTILATION MECHANICAL EXHAUST
X
512.00
36
INCINERATOR — RESIDENCE
X
$19.00
37
INCINERATOR — COMMERCIAL
X
$22.00
METHOD OF PAYMENT:
CCASH 0 CHECK 0 VISA 0 MC
CARD #:
AUTHORIZED SIGNATURE:
REVISED 826/05
EXPIRES:
VIN
SUBTOTAL
PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE: