2007, 12-28 Permit App: 07004977 Mechanical FixtureSp6kane�
Valley
Community Development
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevalley.org
Mechanical Permit Application
PERMIT NUMBER: LK/ 7
PERMIT FEE:
Commercial , Revidentai
SITE ADDRESS: 7 3 2-sz `( e U to csic
Building Owner r-7----0--vi--L. (-L.) 0, n f g .
Name: ...ru i t/ Ci. (27t. Phone? , .-- / Z Cr Fax: ---
/3
Address: P -2,z >� N Ctty:3 pQ�12 li (A • State:(Ai 6
Zip: `!~2`61
Contractor13 ±. G . kiLE4 -CI. A i AIA 14.-1 ! TZ . 6 ti+ { .7fy 7, t k' ._
Name: Phone: q2 7 _9696 I Fax: S. G �.
Address: i (i 4(/ 41Li 7
> e a - [ City..�'r '�+C�14 Nt..� � ;��P y�,r State: � �` •
Zip: �✓'i� ts�1.4
License No: a c, He -,e 0 t�14 44 City Business Lic: • t'
``g.
Contact ' c� _1[` 1 ' _.�.i IRCh (�B t ' , _- .,
Name: Phone:. "7 d 0 -- 2. ZV( cell --
ESCRIPT1ON OF WORK
0 OF UNITS
X
COST
= TOTAL AMOUNT
FUEL BURNING APPLIANCE
NCE
2
FUEL BURNING APPLIANCE . .
- Eq-ua1 to or less than 100,000
More than 100.000
X
512.00
X
515.00
/2. e v
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
X
550.00
4
UNLISTED APPLIANCE (Additional Fee)
More than 400,000
5100.00
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
512.00
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
535.00
11
BOILER/REFRIGERATION
More than 1 ,750M BTU
X
' 560.00
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
510.00
13
RANGE
X
510.00
14
DRYER
x
S10.00
15
FUEL BURNING WATER HEATER
X
510.00
16
MISC. FUEL BURNING APPLIANCE
X
510.00
17.
GAS PIPING (each outlet)
X
51.00.
18
DUCT SYSTEMS
X
510.00
19
VENTILATING FANS
X
510.00
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
x
51200
21
AIR HANDLER (DOES NOT inctude 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
310.00
25
HEAT PUMP/AIR CONDITIONER
03 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
535.00
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
. 525.00
33
REPAIR & 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 Q CHECK Q VISA DMC
CARD It
AUTHORIZED SIGNATURE:
REVISED 0/2&05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
TOTAL PERMIT FEE DUE:
535.00