2006, 08-31 Permit App: 06003499 Mechanical Fixturesre:nn t- nter
Sp "kerne 11707 E Sprague Ave, Suite 106
4.00.0. Valley Spokane Valley, WA 99205
(509)688-0036 FAX: (509)6S8-0037
Community Development www .snokanevallev.or2
Mechanical Permit Application ❑ Commercial PrResidential
3 �'k �/L,
PERMIT FEB: j 8 UL)
PERMIT NUMBER:
stl
SIT' ADDRESS:
Building Ofrner
Name: -3,R vls, JY -FOR V 1i Phone`50-c R 2:27 ?PL. b Fax:
Address: (e)\% 1,1 ` n,..T ,s City. S si1/4J1t State: Zip: ^n
1
Contractor` ;' 19rAi;AzAR_ ... -. - . .
Name: Phone: Fax
Address: City: State: Zip:
License No: City Business Lir.
•Contact T.r ... ._ _ __ ., _., a.
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
fl
515.00
=
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
3100.00
=
5
USED APPLIANCE (WSEC min. AFUE rating)
Equal to or less than 400,000
X
550.00
=
6
USED APPLIANCE (WSEC min. AFUE rating)
More than 400.000
X
5100.00
=
7
BOILER/REFRIGERATION
1 - 100M BTU
X
112.00
8
BOILER/REFRIGERATION
101 -500M BTU
X
$20.00
=
. 9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
325.00
=
10
BOILER/REFRIGERATION
1,001 -1,750M BTU
X
$35.00
=
11
BOILER/REFRIGERATION -
More than 1,750M BTU
X
560.00
=
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
110.00
=
13
RANGE
X
510.00
=
14
DRYER
X
$10.00
=
15
FUEL BURNING WATER HEATER
X,,tY
$10.00
=
16
MISC. FUEL BURNING APPLIANCE
(Lp
$10.00
=
17
GAS PIPING (each outlet)
'
�61
51.00
=
18
DUCT SYSTEMS
"C-
$10.00
=
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
$15.00
=
22
EVAPORATIVE COOLERS
X
$10.00
=
23
TYPE I HOOD
X
150.00
=
24
TYPE II HOOD.
1
X
510.00
=
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12.00
=
26 -
AIR CONDITIONER
3-15 TON
X
520.00
=
27
AIRCONDI1IONER
15-30 TON
X
325.00
=
28
AIR CONDITIONER
30-50 TON
X
535.03
=
29
AIR CONDITIONER
More than 50 TON
X
560.00
=
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
512.00
=
36
INCINERATOR - RESIDENCE
X
$19.00
=
37
INCINERATOR -COMMERCIAL
X
522.00
=
METHOD OF PAYMENT:
DCASH 151HECK D VISA D MCEXPIRES:
CARD #:
SUBTOTAL
PROCESSING FEE
535.00
VIN:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 126/05