2005, 11-08 Permit App: 05004240 Furnace, Piping. l,t D‘'
dowleY
Project Add
Owner. E'0 t vl _C'2o�C 1l I S
Mailing Address: 2'7 2 t S a l oci\,u GA's'
Contractor: 13 c4e- ? -' !AJ License #:
Mailing Address: / city (Z d -o i,Lp
Phone: (509) 688-0036; FAX: (509) 688-0037
For Inspections, CaII (509) 688-0054
,jai2
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206 0
n -C (o' C.r Lie
Permit Use:( - n(0 'C6
Phon (Daytim&Contact): Q Z,(,
UL -)174- 9Fa3
h43 Phone #:
SlaW
q27 -Arc/
state
rip Code
Code
AUTHORIZED SIGNATURE
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT _
1
FUEL BURNING APPLIANCE
Equal to or less than 100.000
(
X
$12.00
=
/2.001
2
FUEL BURNING APPLIANCE
More than 100,000 -
X
$15.00
=
3
UNLISTED APPLIANCE (Addl5onai Fee)
Equal to or less than 400.000
X
$50.00
=
4
UNLISTED APPUANCE1Addi60nal Fee)
More than 400.000
X
5100.00
=
5
USED APPLIANCE (WSEC min. AFUE rang)
Equal to or less than 400.000
X
$50.00
=
•
6
USED APPLIANCE (WSEC min. AFUE rang)
More than 400,000
X
S100.00
=
7
BOILER/REFRIGERATION
1 - 10DM BTU
X
$12.00
=
8
BOILER/REFRIGERATION
101 - 500M BTU
X
$20.00
=
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$25.00
=
10
BOILER/REFRIGERATION
1.001-1,750M BTU
X
$35.00
=
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
S10.00
=
17
GAS PIPING (each outlet)
2
X
$1.00
=
16
DUCT SYSTEMS
X
$10.00
=
19
VENTILATING FANS
X
$10.00
=
20
AIR HANDLER (DOES NOT include duciarg)
Equal to or less than 10,000 CFM
X
$12.00
=
21
AIR HANDLER (DOES NOT indude ducting)
Greater than 10.000 CFM
X
$15.00
=
22
EVAPORATIVE COOLERS
X
$10.00
=
23
TYPE 1 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
3-15 TON
X
$20.00
=
27
AIR CONDITIONER
15-30 TON
X
$25.00
=
28
AIR CONDONER
ITI
30-50 TON
X
$35.00
=
29
AIR CONDITIONER
More than 50 TON
X
$60.00
=
30
LPG STORAGE TANK
X
$10.00
=
31
WOOD OR PELLET STOVE/INSERT
X
$10.00
=
32
WOOD STOVE - FREE STANDING
X
$25.00
=
33
REPAIR & ADDmONS
X
515.00
=
34
VENTILATION SYSTEMS'
X
$12.D0
=
35
VENTILATION MECHANICAL EXHAUST
X
$12.00
_
36
INCINERATOR - RESIDENCE
X
$19.00
=
37
INCINERATOR- COMMERCIAL
_
X
$22.00
=
METHOD OF PAYMENT:SUBTOTAL
O CASH 0 CHECK 0 VISA DMC
CARD #
DATE:
/ `7 ' a U
PROCESSING FEE
$35.00
EXPIRES:
TOTAL PERMIT FEE DUE:
119. oo
AUTHORIZED SIGNATURE