2008, 09-02 Permit App: 08003436 Gas PipingPermit Center
5fi07 dresteistemiia "SII 11703 E Sprague Ave, Suite B-3
p n[le X11 Spokane Valley, WA 99206
cosOFPalley. (509)688-0036 FAX: (509)688-0037
Community Development permncenleraspokanevallev.org
Mechanical Permit Application n Commercial
PERMIT NUMBER: gr. -_3(010
PERMIT FEE:
Residential
SITE ADDRESS: 1 700 ( C/ -ST I.x--�U"'t Ct 12c L
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Building Owner fOLLy \\rnai..)0 %V,:
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Name: CI N N1 e-iS
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Phone: -I Zi_ -f 9(09
Fax:.
Address: 19u0 EI �_ 131uv.�. i_erQ
City: GrQf n irtt Qcs
State:
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Contractor
Name:
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
3100 00
5
USED APPLIANCE SEC min. AFUE rating)
Equal to or less than 400,000
X
350.00
6
USED APPLIANCE (WSEC min. AFUE rating)
More than 400,000
X
$100 00
7
BOILER/REFRIGERATION
1 - 100M BTU
X
312.00
8
BOILER/REFRIGERATION
101 - 500M BTU
X
320.00
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
325.00
10
BOILER/REFRIGERATION
1,001 - 1,750M BTU
X
335.00
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
360.00
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
310.00
13
RANGE
X
$10.00
14
DRYER
X
310.00
15
FUEL BURNING WATER HEATER
X
$10 00
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
17
GAS PIPING (each outlet)
l
X
$1.00
18
DUCT SYSTEMS
X
310 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
310 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
335 00
29
AIR CONDITIONER
More than 50 TON
X
360 00
30
LPG STORAGE TANK
X
$10 00
31
WOOD OR PELLET STOVE/INSERT
x
310 00
32
WOOD STOVE - FREE STANDING
X
325 00
33
REPAIR 8 ADDITIONS
x
315.00
34
VENTILATION SYSTEMS
x
312.00
35
VENTILATION MECHANICAL EXHAUST
X
$12.00
36
INCINERATOR — RESIDENCE
X
$19.00
37
INCINERATOR — COMMERCIAL
X
322.00
METHOD OF PAYMENT:
❑CASH ❑ CHECK 0 VISA ❑ MC
CARD#:
AUTI IORIZED SIGNATURE:
REVISED S/26/05
EXPIRES.
VIN'
SUBTOTAL
PROCESSING FEE
335.00
TOTAL PERMIT FEE DUE: