2008, 04-18 Permit App: 08001441 Mechanical FixturesS"po7�ane
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.sookaneval ley.org
PERMIT NUMBER: 2_/1414
PERMIT FEE: { (3 -
n Commercial (E Residential
SITE ADDRESS: a 2-3 10 .BceSS1 E_
Building Owner
Name: -,A.,6.4--1/\.) Cr -51.1. VI1 Wlp/- ma LAu 4' ( L4 A..) Phone: S9-3% 3
Fax:
Address: c�- N ess 1 E J City: icswe liKl-Il_tl
�
State:
Zip:
Contractor 1
Name: fI Phone: N�7'-834�f
Fax:
�}' 1 rVr� PAc.a 1-1Alt .
Address: ND 1I ti �t}2tl° (.4,4_„„)ffif7c1-
e City. 600
State: u3A
Zip:
99
X
License No: Is_ )-t- D p j 1 4 \aI o A City Business Lic:
�'l
Contact
..
Name: %t,.. 1V 7 ic s-/ Phone: 9'i, -al 7 8 /
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
f 1°()
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
6
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
BOI LER/REFRIG ERATION
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)
t
x
$1.00
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
EVAPORATIVE COOLERS
X
$10.00
23
TYPE I HOOD
X
$50.00
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 - 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:
❑CASH iI CHECK
CARD #:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
❑ VISA ❑ MC
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE: