2005, 08-03 Permit App: 05002712 Mechanical FixturesSrpolane
MECHANICAL PERMIT APPLICATION
Phone: (509) 688-0036; FAX: (509) 688-003
For Inspections, Call (509) 688-0054
Project Address: /.20,0„//206.V
Owner: -/a-
MailingAddress• /Z// "Vole_ersl-�
Contractor. 2c., ,Zi Ln etc//(
Mailing Address- Po 3,7628 -
License #:
7O27t
Permit Use:
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone (Dayte Cont ct): PZ/ S 7/ Y
Sx ,.{ 60,4-
1 City State
PG q-RSan /95 / J Phone #:
Zip CDde
C i /L... ! Lam, Ca WA-
D State
49 996/9
Zw Code
AUTHORIZED SIGNATURE:
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
520.00
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
525.00
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
510.00
13
RANGE
-2
X
$10.00=
Zv --
14
DRYER
X
510.00
=
15
FUEL BURNING WATER HEATER=
Z
x
$10.00
2d ---
16
MISC. FUEL BURNING APPLIANCE
X
510.00
17
GAS PIPING (each outlet)
2-
X
$1.00
=
'
.2
16
DUCT SYSTEMS
X
510.03
=
19
VENTILATING FANS
X
510.00
=
20
AIR HANDLER (DOES NOT indude ducting)
Equal to or less than 10,000 CFM
X
512.00
=
21
AIR HANDLER (DOES NOT indude ducting)
Greater than 10.000 CFM
X
515 00
=
22
EVAPORATIVE COOLERS
X
510.00
=
23
TYPE I HOOD
X
550.00
=
24
TYPE II HOOD
-
X
510.00
=
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
512.00
=
26
AIR CONDITIONER
3-15 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
510.00
=
31
WOOD OR PELLET STOVE/INSERT
X
$10.00
=
32
WOOD STOVE - FREE STANDING
X
525.00
=
33
REPAIR 8 ADDITIONS
X
$15.00
=
34
VENTILATION SYSTEMS
X
512.00
35
VENTILATION MECHANICAL EXHAUST
/
X
512.00
=
36
INCINERATOR -RESIDENCE
X
519.00
=
37
INCINERATOR -COMMERCIAL
X
522.00
=
METHOD OF PAYMENT: i'�L-%Tht ^�p
ElCASH 0 CHECK 0 VISA 0 MC
CARD #: -
�
2 /
DATE:
SUBTOTAL
PROCESSING FEE
535.00
EXPIRES:
TOTAL PERMIT FEE DUE:
U
7 7
AUTHORIZED SIGNATURE: