2007, 01-09 Permit App: 07000067 Mechanical FixturesPermit Center
S 11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www.spokanevallev.org,
Mechanical Permit Application
PERMIT NUMBER:- 1-00(e1
PERMIT FEE:
Commercial Residential
SITE ADDRESS: /3 i0
5 co,
Building Owner
Owner
Name: j
hp
Phone:
Fax:
Address: / /0
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City: 5/90(e -/-,-4C
State: e -C,,/9- Zip: 9? E /6
Contractor
Name: gelLe./,c, /../..e A77Ae6
Phone:(Srs7) - air z .„/- --3 SY/ Fax: c7z4, _: 's 17 18
Address: / /(.,26 7 y 6 •7--
City: S7,0k ...9-A'd,--
State: e.-7„..4 Zip:q z 0
License No: /of -crit& fit..... 0 / 0 .T--(4
City Business Lic:
Contact
Name: Oe..c.„,„....z-s- ••••c.z a g."....,
Phone: 5--c9 e z...c, --s
DESCRIPTION OF WORK
# OF UNITS
X
COST
= TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
$12,00
2
FUEL BURNING APPLIANCE
More than 100,000
X
$15.00
/ 2, 00
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
X
$50.00
4
UNLISTED APPLIANCE (Additional Fee)
More than 400,000
X
$100.00
USED APPLIANCE (WSEC min. AFUE rating)
Equal to or less than 400,000
X
$50.00
6
USED APPLIANCE SEC min. AFUE ratin )
More than 400,000
X
$100.00
7
BOILERIREFRIGER
1 - 100M BTU
X
$12.00
8
BOILER/REFRIGERATION
101 - 500M BTU
X
$20.00
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$25.00
10
11
12
13
BOILER/REFRIGERATION
BOILER/REFRIGERATION
GAS LOG, GAS INSERT, GAS FIREPLACE
RANGE
1,001 - 1,750M BTU
More than 1,750M BTU
$35.00
$60.00
$10.00
$10.00
14
DRYER
X
$10.00
15
FUEL BURNING WATER HEATER
X
$10.00
/0, ct.,
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
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
$15.00
22
EVAPORATIVE COOLERS
X
$10.00
23
TYPE J HOOD
X
$50.00
24
TYPE 0 HOOD
X
$10.00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12.00
AIR CONDITIONER
3-15 TON
X
$20.00
27
AIR CONDITIONER
15-30 TON
X
$25.00
28
AIR CONDITIONER
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 & ADDITIONS
X
$15.00
34
VENTILATION SYSTEMS
X
812.00
35
VENTILATION MECHANICAL EXHAUST
X
$12.00
36
INCINERATOR - RESIDENCE
X
819.00
37
INCINERATOR - COMMERCIAL
X
$22.00
METHOD OF PAYMENT:
I:CASH CHECK
CARD #:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
VISA 0 MC
EXPIRES:
VIM:
SUBTOTAL
PROCESSING FEE
835.00
TOTAL PERMIT FEE DUE: