2008, 06-20 Permit App: 08002354 Mechanical Fixtures*Mane
Malley
Community Development
Mechanical Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www suokancvallev.orh
PERMIT NUMBER: S�
PERMIT FEE:
❑ Commercial 1;1Residential
SITE ADDRESS: C21/4"4" /7 ates
Building Owner /�_ it . _ Z6426:41.46.44 fir
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Pho e. Fax
Address
City: State:
Zip:
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Contractor ,� 7 ! O/f7Y��S -
Name: N.(4,);--t,
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Phone: -,C�_S�7) (o Fax:
Address: `0? /. ((-s7/_- Hon
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City: Sp. LAK e State.
Zip !�(�`�C
License No. (
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City Business Lir 4 pa 575- 7
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Lcenset �j��%�//9��yLowL`9�
Name: it
Phone: /9 4/7f ,
DESCRIPTION OF WORK
#OF UNITS X
COST
= TOTAL AMOUNT
FUEL BURNING APPLIANCE
Equal to or less than 100,000
i
X
51200
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
51200
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
535 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
510 00
14
DRYER
X
510.00
15
FUEL BURNING WATER HEATER
X
$10 00
16
MISC FUEL BURNING APPLIANCE
X
$10 00
e0
17
GAS PIPING (each outlet)
X
$1.00
18
DUCT SYSTEMS
X
$1000
19
VENTILATING FANS
X
510 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
515 00
22
EVAPORATIVE COOLERS
$10.00
23
TYPE I HOOD
X
550 00
24
TYPE II HOOD
X
510.00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
E --
X
$12.00
r
26
AIR CONDITIONER
4-15 TON
X
520.00
27
AIR CONDITIONER
15-30 TON
X
525 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
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:
ECASH E CHECK 0 VISA 0 MC
CARD #'
AUTHORIZED SIGNATURE:
REVISED 8126/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
535.00 •
TOTAL PERMIT FEE DUE: