2009, 12-15 Permit App: 09003989 Mechanical FixturesSpokane
ceCc)F91r,
MECHANICAL PERMIT APPLICATION
Phone: (509) 688-0036; FAX: (509) 688-0037
For Inspections, CaII (509) 6B8=0054
Project Address: 1,?_nL r\
owner: t4N•r-V•, r� N.A* S cArn
Mailing Address:
Contractor: tAb Wt\6. r� a,� } ; r,
Mailing Address: t-}tD - r'
Community Development Department
'Building Division
11707 E_ Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Permit Use: }�ea��xxv,j 4 Erle.c..vA�.
Phone (Daytime Contact): Sip A - eb Le
�CJ ncira s � L3)4 '14=103'3
C4Y Sreio Zip Coos
License #: --10 5 LI H Q' 5Lr Z In Phone #: S.) 6 - t j t --E
Surto Z.9 Cwe
AUTI-0RIZED Si �_ h(1JL� Y ■ LL ti�
TO 3Dtid DNII.V3H AV0I110H TLEbSES6RS 6E:EI 600E/SI/ZT
NAH3IN30 kIWd3d AS LE008B969S LZ:EI 6001/ST/ZT Q3III3D3N
DESCRIPTION OF WORK
17 OF UNITS
X
COST
.
TOTAL AMOUNT
1
FUEL BURroNG APPLIANCE •
_ Equal to or Less than 100.000
x
612.00
2
FUEL BURNING APPLIANCE
More than 100.000
X
515.00
=
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less Man 400.000
X
550.0D
=
4
UNLISTED APPLIANCE {Aptlnional Fee)
Mare than 400 ,DOD
X
;11)0.00
=
5
USED APPLIANCE (WSEG rain. AFUE rating)
Equal to or Iecs than 400,000
X
550.00
=
6
USED APPLIANCE {WSEC min. AFUE rating)
More than 400.000
_
X
6100.00
.
7
BOILER/REFRIGERATION
1 - 100M BTU
X
512 00
=
8
BOILER/REFRIGERATION 101 - 500M 6T1J
X
520.00
=
9 BOILER/REFRIGERATION 501 • 1.000M BTU
X
$25.00
=
10 BOILER)REFRIGERATION1 5,001 • 1,750M STU
X
535.00
=
11 BOILER/REFRIGERATION More than 1,750M ITU
X
550.00
=
:2 GAS LOG. GAS INSERT. GAS FIREPLACE
X
610.00
.
:3 RANGE
X
510.00
=
r
14 DRYER
X
510.00
=
i 15 FUEL BURNING VVATEr2 HEATER
X
$10.00
=
15 MISC. FUEL BURNING APPLIANCE I .
X
$100 01)
=
17 GAS PIPING (each outlet) 7
X
51.00
=
18 ODCT SYSTEMS
t
X i
510.00
•-
19
VENTILATING FANS
X
510.00
20
AIR HANDLER (DOES' NOT lrGWt luting)
Equsl to or less than .10.000 CFM
1
X
512.00
=
1 7. , c b
21
AIR HANDLER (DOES NOT lnnivde ductingi
•Greater than 10.000 CFM.
X
$15.00
=
22
EVAPORATIVE COOLERS
L. X
510 OD
)
= f
23
TYPE 1 t40001
X
550 00
= 1
24
TYPE II 14000
X I
51000
=
25
HEAT PIJMPJAIR CONDITIONER
0-3 TON
`
L
X
$12.00
-
1 2. 434...
26
AIR DONOR TONER-
3.15 TON
X
520.00
= i
27
AIR CONDITIONER
15.30 TON '
X
525.00
=
25
AIR CONDITIONER
30-513 TON
X
535.00
=
29
AIR GONDTIONER
More than 50 TON
X
550.00
=
30
LPG STORAGE TANK
II
X I 310.00
31
WOOD OR PELLET STOVE/INSERT
T
X
.510.00
32
WOOD STOVE - FREE STANDING
x
525.00
=
33
REPAIR & ADDnoN5
X
515.00
•
34
VENTILATION SYSTEMS
X
512.00
=
35
VENTILATION MECHANICAL EXHAUST
X
I
• 512-00 I
11
a
36
INCINERATOR - RESIDENCE
X
519.00
=
37
INCINERATOR - COMMERCIAL !
_ X
522.00 -
2-14, 0
535.00
METHOD OF PAYMENT: SUBTOTAL.
`
DATE. l� I �� Awl PROCESSING FEE
0 CASH i] CHECK ("VISA ❑ MC
fARn 9' gil110.11M1 EXPIRES: -46141 ---TOTAL PERMIT FEE DUE:
5c1.00
AUTI-0RIZED Si �_ h(1JL� Y ■ LL ti�
TO 3Dtid DNII.V3H AV0I110H TLEbSES6RS 6E:EI 600E/SI/ZT
NAH3IN30 kIWd3d AS LE008B969S LZ:EI 6001/ST/ZT Q3III3D3N