2005, 09-23 Permit App: 05003503 Mechanical FixturesPermit Center
Spokane 11707 5 Sprague Ave, Suite 106
j�alley
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development ww•w,.spokanevalley.ora.com
Mechanical Permit Application o Commercial
aPERMTT^NUNLBER:
cite.
ui
, PERMITTEE.
ti
esidential
SITE ADDRESS »%/ / i 1J/4{...rd(Jk ,
::Bmldiogowoer` \'77r 11- `-`A
k/S2 i.N�'t• Ir-� TMrcig*M .R >._--- z ,-
k-yti-..
Name:
5 �'1�p ,
J Phone: ,X9/24 ♦ Fax
Address:
,2L/i7 S K 74) 'a . CI
,/�
City clip State N/ //
ZipC/Y, 20
o' . • *
:. t t��._�''.`. `S - ' ::-nr - : tea.. t
_ __ rti'_
Name:
S-1-e-ve ,silex rrL A¢ -k/
_ _.. _
_, .;
Phone: Fax:
Address:
City State
Zip
License No:
6 (3c L / 3 9/o
City Business License No:
..Contac[
v1r it. . r'
._� ?��-'_.�- ��-€t-.,
's
7c
E
x+3.rL ^p'+6 f K u -re • r 1
:i�u.'�-*a��+. �s:�+.� i�` ._:.}��. 1-"»-.v..`:a�•~Pa.�:�a...~t.,
-
s
-. 2.x�
Name:
Phone:
DESCRIPTION OF WORK
#OF UNITS X
COST
= TOTAL AMOUNT
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
$12.00
2
FUEL BURNING APPLIANCE
More than 100,000
X
$15.00
/s9.,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
$100.00
5
USED APPLIANCE (WSEC min. AFUE rating)
Equal to or less than 400,000
X
$50.00
6
USED APPLIANCE (W SEC 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
$60.00
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
$10.00
J0 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
ar0O
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
$50.00
24
TYPE II HOOD
X
$10.00
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 8. ADDITIONS
X
$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:
❑CASH ❑ CHECK 0 VISA 0 MC
CARD #:
AUTHORIZED SIGNATURE:
DATE:
EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
REVISED 8/226/05