2005, 11-29 Permit App: 05004488 Mechanical FixturesPermit Center
Spa"kane 11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0087 -
Community Development www.spokanevalley.ora.com
Mechanical Permit Application
.000 Valley
PERMIT NUMBER: 0,s--7 71
PERMIT FEE: SI- (J"
n Commercial M Residential
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SITE ADDRESS: ' ,. , •
Building owner
Name: ---Z
, )\ IN. k -e Gl I
Phone: 2
30 - 57 q 9 Fax:
A O n C
Address: / 3
3 2 3 P Eon r\ -C
City:S,po / ane UddIy State:
(_,,L)A Zip:9.92/
Contractor
O(.0 Y\ e ,"
(/
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business License No:
Contact
Name:
Phone:
I --
1
2
DESCRIPTION OF WORK
# OF UNITS
X
COST
= TOTAL A
FUEL BURNING APPLIANCE
FUEL BURNING APPLIANCE
Equal to or Tess than 100,000
1
X
$12.00
More than 100,000
X
$15.00
3
4
5
6
7
8
9
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
X
$50.00
UNLISTED APPLIANCE (Additional Fee)
More than 400,000
X
$100.00
USED APPLIANCE (WSEC min. AFUE rating)
USED APPLIANCE (WSEC min. AFUE rating)
BOILER/REFRIGERATION
BOILER/REFRIGERATION
Equal to or less than 400,000
X
$50.00
More than 400,000
X
$100.00
1 - 100M BTU
X
$12.00
101 - 500M BTU
X
$20.00
10
11
BOILER/REFRIGERATION
BOILER/REFRIGERATION
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$25.00
1,001 - 1,750M BTU
X
$35.00
More than 1,750M BTU
x
$60.00
12
13
GAS LOG, GAS INSERT, GAS FIREPLACE
RANGE
X
$10.00
X
$10.00
14
DRYER
X
$10.00
15
16
FUEL BURNING WATER HEATER
X
$10.00
MISC. FUEL BURNING APPLIANCE
X
$10.00
17
GAS PIPING (each outlet)
2
X
$1.00
18
DUCT SYSTEMS
X
$10.00
19
20
21
VENTILATING FANS
X
$10.00
22
23
AIR HANDLER (DOES NOT include ducting)
AIR HANDLER (DOES NOT include ducting)
EVAPORATIVE COOLERS
Equal to or less than 10,000 CFM
X
$12.00
Greater than 10,000 CFM
X
$15.00
X
$10.00
TYPE I HOOD
X
$50.00
24
25
26
TYPE II HOOD
X
$10.00
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12.00
AIR CONDITIONER
3-15 TON
X
$20.00
27
28
AIR CONDITIONER
AIR CONDITIONER
15-30 TON
x
$25.00
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
$12.00
35
VENTILATION MECHANICAL EXHAUST
X
$12.00
36
INCINERATOR - RESIDENCE
X
$19.00
37
INCINERATOR - COMMERCIAL
X
$22.00
METHOD OF PAYMENT:
❑CASH ❑ CHECK VISA ❑ MC
CARD #:
DATE:
EXPIRES:
AUTHORIZED SIGNATURE:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
REVISED 8/26/05