2004, 09-01 Permit App: BLD-04-07546 Water Heatertl'T1' l i
Win'
„ . galley
Mechanical Permit Application
11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone
Spokane Valley, NA 9' 206
509-688-0037 - Fax
7x,,.97
(10 8)
PROJECT 9
ADDRESS: / 4 D hs,�j '
(/V
PERMIT
USE:
# OF UNITS
OWNER: /3
PHONE (Daytime Contact): 924./ �Q 7
9
7
MAILING AD SS: .....4r
m 'I
FUEL BURNING APPLIANCE
= OR < 100,000
(street) (city/state) (ZIP)
X
$15
CONTRACTOR: / / r CerN /1lt i�
LICENSE `/
f �p /
3Gs O l
MAILING
2
FUEL BURNING APPLIANCE
ADDRESS:
„772O 2)f- G
PHONE ##•
, 93 66 0 ` Vr
X
819
.Dil- .,_--i) )'8 1
3
(street) (city/state) (ZIP)
=OR <400,000
METHOD OF PA
❑ CASH 0. C
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
# OF UNITS
X
COST
EQUALS
AMOUNT
1
FUEL BURNING APPLIANCE
= OR < 100,000
X
$15
=
2
FUEL BURNING APPLIANCE
> 100,000
X
819
=
3
UNLISTED APPLIANt:E (ADDITIONAL FEE)
=OR <400,000
X
$50
4
UNLISTED APPLIANCE (ADDITIONAL FEE)
> 400,000
X
$100
=
5
USED APPLIANCE (WSEC min. AFUE rating)
= or <400,000
X
$50
=
6
USED APPLIANCE (WSEC min. AFUE rating)
> 400,000
X
$100
=
7
BOILER/REFRIGERATION
1 - 100M BTU
X
$15
8
BOILER/REFRIGERATION
101- 500M BTU
X
$28
=
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$39
=
10
BOILER/REFRIGERATION
1001 - 1,750M BTU
X .
857
=
11
BOILER/REFRIGERATION
+1750M BTU
X
$95
=
12
GAS LOG, GAS INSERT, GAS FIREPLACE
-
X
$10
=
13
RANGE
-
X
810
=
14
DRYER
-
X
$10
=
15
FUEL BURNING WATER HEATER
-
X
$10
=
/ 0
16
MISC. FUEL BURNING APPL.-
X
$10
=
17
GAS PIPING (ea. Outlet)
-
X
$1
=
18
DUCT SYSTEMS
-
X
$10
=
19
VENTILATING FANS
-
X
$10
=
20
AIR HANDLER (DOES NOT include ducting)
= OR < 10,000CFM
X
$12
=
21
AIR HANDLER (DOES NOT include ducting)
> 10,000 CFM
X
$19
=
22
EVAPORATIVE COOLERS
-
X
$10
=
23
TYPE I HOOD
-
X
$,50
-
24
TYPE II HOOD -
-
X
810
-
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12
=
26
AIR CONDITIONER
3-15 TON
X
820
=
27
AIR CONDITIONER
15-30 TON
X
$25
=
28
AIR CONDITIONER
30-50 TON
X
$35
=
29
AIR CONDITIONER
+50 TON
X
560
=
30
LPG STORAGE TANK
--
X
810
31
WOOD OR PELLET STOVE/INSERT
-
X
$10
=
32
WOOD STOVE - FREE STANDING
-
X
825
=
•
4ENT
— tr-, f s !.
SUBTOTAL:
/ 0.e)6
PLUS PROCESSING FEE:
$35.00
00
TOTAL PERMIT FEE DUE: / �7
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE: