2005, 07-25 Permit App: 05002552 FurnaceSfiiikane
MECHANICAL PERMIT APPLICATION Community Development Department
OS- Z-5-) Building Division
Phone: (509) 688-0036; FAX4505);S88-0037 11707 E. Sprague Avenue, Suite 106
For Inspections, Call (509) 688-0054 (1, 513 Spokane Valley, WA 99206
Project Address. //3// - - ar, eNk- Permit Use: C2)/1) 0E2T- ore- 76 39S
Owner. H4 pt R ti( L. A U E 2 Phone (Daytime Contact):
Mailing Address: n ox /4_/ •21 c)G,Jc 442/4
Contractor.
Mailing Address*
License #:
City
State
Phone #:
Zip Code
State
Zia Code
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
1
X
512.03
=
1 Z ' 00
2
FUEL BURNING APPLIANCE
More than 100,00D •
X
515.00
=
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 430,000
X
553.03
=
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
550.00
=
6
USED APPLIANCE (WSEC min. AFUE rating)
More than 400,000
X
5100.00
=
1
7
BOILER/REFRIGERATION
1 - 100M BTU
-
X
512.00
=
6
BOILER/REFRIGERATION
101 - 50DM BTU
X
520.00
=
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$25.00
=
10
BOILER/REFRIGERATION
1.001 -1.750M BTU
X
535.00
=
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
$60.00
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
510.00
=
13
RANGE '
X
510.00
=
14
DRYER
X
510.00
=
15
FUEL BURNING WATER HEATER
X
$10.00
=
16
MISC. FUEL BURNING APPLIANCE
X
510.00
=
17
GAS PIPING (each outlet)
i
X
51.00
=
18
DUCT SYSTEMS
X
110.00
=
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
115.00
=
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
3-15 TON
X
520.00
=
27
AIR CONDITIONER
15-30 TON
X
125.00 .
_
28
AIR CONDITIONER
30-5D TON'
X
135.00
=
29
AIR CONDITIONER
More than 50 TON
X
$60.00
=
30
LPG STORAGE TANK
X
$10.00
=
31
WOOD OR PELLET STOVE/INSERT
X
510.00
=
32
WOOD STOVE - FREE STANDING
-
X
525.00
=
33
REPAIR & ADDITIONS
X
515.00
=
34
VENTILATION SYSTEMS'
X
512.00
=
35
VENTILATION MECHANICALEXHAUST
X
112.00
=
36
INCINERATOR -RESIDENCE
X
519.00
=
37
INCINERATOR - COMMERCIAL
.
X
522.00
=
METHOD OF PAYMENT:
0 CASH 0 CHECK ❑ VISA 0 MC
CARD #:
DATE:
SUBTOTAL
PROCESSING FEE
-7
DO /'
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE: