2007, 12-18 Permit App: 07004913 Gas PipingJpo�an�
��alley
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.spoka nevalley.ore
❑ Commercial
PERMIT NUMBER: 47
PERMIT FEE:
Residential
3(t
SITE ADDRESS: .$7473 .n ,En Ile ✓ u q cI.
Building Owner
Name: -710r/
r/
Q /4£ C g-
Phone: 9,Z 4/
J'�
.975--,9
Fax:
Address
5,-;a 3
'-r/- Se /hi v e -Le
el- -
Ci ty: 3/00 k 14 +)t
I%k fit,/
State:
„.1.4p:
ZI
y,,..6/ 1i
Contractor
/. -
,
Name:
I
Phone:
Fax:
Address.
City:
State:
Zip:
License No:
City Business Lic:
Contact '-
. _
_ _
_-
_ -
- -
--- - _
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 (W SEC 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
13
RANGE
X
$10 00
14
DRYER
X
510 00
15
FUEL BURNING WATER HEATER
X
$10.00
16
MISC. FUEL BURNING APPLIANCE
X
51000
17
GAS PIPING (ech outlet)
1
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
EVAPORATIVEICOOLERS
X
$10.00
23
TYPE I HOOD I
X
550.00
24
TYPE II HOOD;
X
$10.00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12 00
26
AIR CONDITIONER
4-15 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 I- FREE STANDING
X
$25 00
33
REPAIR & ADDITIONS
X
$15.00
34
VENTILATION SYSTEMS
X
$12.00
35
VENTILATION MECHANICAL EXHAUST
X
512.00
36
INCINERATOR L RESIDENCE
X
519.00
37
INCINERATOR L COMMERCIAL
x
522.00
METHOD OF PAYMENT:
DCASH ❑CHECK ❑VISA 0 MC
CARD #.
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES.
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE: