2007, 11-13 Permit App: 07004531 Mechanical FixturesSpokane
Notley'
Community Development
Mechanical Permit Application
Permit Center
11703 E Sprague Ave, Suite 13-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www snokanevu1lev.org
PERMIT NUMBER:
675(1.-
7 -3 --
PERMIT FEE:
n Commercial n Residential
SITE ADDRESS:
r Building Owner S' 077 '
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c45/4 /� r
Name:
S 9 ,7744;Phone:
Y,
Fax
Address: ,
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City: sig
State ��x/`2✓ Z1p'
-Contractor
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Name:
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Ar,
Phone er 615 0/z.. Fax:
Address
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licit=%.CSS!<Y City: S/c'o
State �/9 Zip i 9'�U �
License No:
City Business Lie
-t7 37.2 :0 � 99 (�
Contact
-
-
Name
Phone:
DESCRIPTION OF WORK
# OF UNITS
X
COST
= TOTAL AMOUNT
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
$100.00
5
USED APPLIANCE (WSEC min. AFUE rating)
Equal to or less than 400,000
X
$50 00
6
USED APPLIANCE (W SEC 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•
5.
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$25 00
10
BOILER/REFRIGERATION •
1,001 - 1.750M BTU
X
$3500
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
1
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
520 00
27
AIR CONDITIONER
15-30 TON
X
$25 00
28
AIR CONDITIONER
30-50 TON
X
$35 00
t
29
AIR CONDITIONER
More than 50 TON
X
$60 00
30
LPG STORAGE TANK
X
$10 00
31
WOOD OR PELLET STOVE/INSERT
X
510.00
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
$22.00
METHOD OF PAYMENT:
DCASH 0 CHECK ❑ VISA 0 MC
CARD #:
AUTHORIZED SIGNATURE.
REVISED 8/26/05
EXPIRES -
VIN:
SUBTOTAL
PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE: