2007, 09-27 Permit App: 07003839 Mechanical Fixtures• Permit Center
® 0 1 1703E Sprague Ave, Suite B-3
'.r `�'' Spokane Valley, WA 99206
a.Lley , (509)688-0036 FAX: (509)688-0037
Community Development www spokanevalley.orp -
Mechanical Permit Application ❑ Commercial
Spokane -
393
0)
PERMIT NUMBER:
PERMIT FEE: e/
Residential'
SITE ADDRESS:
122o 5.3es4- Ad. Spm ••-e. Uot l leLy W k 99 037
Building Owner ' - - -
- - -
-
Name:
►,1
bli e 1 c. K-es-vrct✓,Phone: qZI -o g4f
Fax:
Address:
City: 5-130�.1no VH'iP y
12.7-0 S . .l3 est Rd •
State:
- --- Zip:
�037
Contractor
- /
--
Name.
Phone:
Fax:
-
Address:
City
State:
Zip:
License No:
- City Business Lic:
- -
Contact
Name:
Palin NA c C Q.r'Vta ✓• Phone: et (I It %O l
-1 3 a &
-
DESCRIPTION OF WORK
#OF UNITS X
COST
= TOTAL AMOUNT
FUEL BURNING APPLIANCE
Equal to or less than 100,000
$12.00
2
FUEL BURNING APPLIANCE
More than 100,000
X
$15.00
/s oo
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
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
$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
/.J
18
DUCT SYSTEMS
x
$10 00
10,0 O
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
510 00
23
TYPE I HOOD
.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
520 00
2-o. oO
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
510 00
31
WOOD OR PELLET STOVE/INSERT
.X
510.00
32
WOOD STOVE - FREE STANDING
X
$25.00
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:
❑CASH 0 CHECK 0 VISA 0 MC
CARD #:
AUTHORIZED SIGNATURE:
REVISED %I2605
EXPIRES:
VIN.
SUBTOTAL
4' . co
- PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE: -