2009, 08-27 Permit App: 09002733 FurnacePermit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
�/ (509)688-0036 FAX: (509)688-0037
Community Development wanv.sookanevallev-org
Mechanical Permit Application ❑ Commercial idential
SITE ADDRESS:
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Dwarfing Owner -j t /,S` i i, i X -0 -?c/ ---
Name:Name:
Phone: crl5 - ( / l T q Fax:
Address: C'c! re t t oe) ),, k.
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Contractor/3 +• C.,RE4 Vl °ad
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Name i
Q.37 -096 Fax bA
Address: J yyt .1.. c., -i tt
City: kt-.. ife stagy:
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TAP:
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License No: (G /46 6/4.0y. 0 R5 -04r
City Business Lic:
Contact
Name:
Phoma ! U - 2. 2. -VG C e!f .._
DESCRIPTION OF WORK
# OF UNITS
x
cosi
a TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to orless than 100.000
X
$12.00
2
FUEL BURNING APPLIANCE
More than 100,000
x
$15.00
a
3
UNUSTED APPUANOE (Additional Fee)
Equal b or less than 400,000
X
$50.00
4
UNUSTED APPLIANCE (Add korai Fee)
Mom than 400,000
X
$100.00
5
USED APPUA NCE (WSEC min. AFUE raring)
Equal b or less Oren 400,000
X
$50.00
6
USED APPLIANCE (WSEC min. AFUE rang)
More than 400.000 -
x
$100.00
7
BOILER/REFRIGERATION
1-100M BTU
x
$1200
8
BORERREFRIGERATION
101 - 500M BTU
x
$20.00
9
BOILER/REFRIGERATION
501 -1.000M BTU
x
$25.00
10
BOlUEMEFRIGERATION
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
510.00
15
FUEL BURNING WATER HEATER
X
$10.00
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
17
GAS PIPING (each outlet)
X
$1.00.
18
DUCT SYSTEMS
X
$10.00
19
VENTILATING FANS
X
$10.00
20
AR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
X
$1200
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10,000 CFM
X
$15.00
22
EVAPORATNE COOLERS
X
$10.00
23
TYPE I HOOD
X
550.00
24
TYPE II HOOD
x
$10.00
25
HEAT PUMP/AIR COMMONER
03 TON
X
$12.00
26
AIR CONDITIONER
3-15 TON
X
$20.00
27
AIR CONDmONER
15-30 TON
X
$25.00
28
AIR CONDMONER
30-50 TON
x
S35.00
29
AIR CONDmONER
More than 50 TON
x
$80.00
30
IPG STORAGE TANK
x
$10.00
31
WOOD OR PELLET STOVE/INSERT
X
S10.00
32
WOOD STOVE- FREESTANDING
X
$25.00
33
REPAIR & ADDITIONS
X
S15.00
34
VENTILATION SYSTEMS
x
S12.00
35
VENTILATION MECHANICAL EXHAUST
X
$12.00
36
INCINERATOR - RESIDENCE
X
$19.00
37
INCINERATOR - COMMERCIAL
X
$22.00
METHOD OF PAYMENT:
OCASH O CHECK O VISA O MC
CARD #:
AUTHORIZED SIGNATURE:
REVISED &26103
EXPIRES:
VN:
SUBTOTAL
PROCESS6NG FEE
/' (9 (0
$35.00
TOTAL PERMIT FEE DUE
`0 00