2005, 01-31 Permit App: 05000276 Water Heater40•0 Valley
Mechanical Permit Application
11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone
Spokane Valley, WA 99206 509-688-0037 - Fax
PROJECT
ADDRESS: O / 3 g
N
DESCRIPTION OF WORK
PERMIT
USE: . .
....a:3_0„u?
OWNER: Alela Ces.
X
PHONE (Daytime Contact): 2 / 7/2...r
MAILING ADDRESS:
AMOUNT
1
FUEL BURNING APPLIANCE
(street)
(city/state)
(ZIP)
$15
CONTRACTOR: r
C
,e,
L1cENW=#:143c,s
,ig 4z• /
MAILING ADDRESS:
,<41720 (ictiid)-(3-1
519
-
PHONE #:
-7-.3
66 e;t:Obcir
UNLISTED ArTuArstE (ADDITIONAL FEE)
- OR < 400,000
(street)
(city/state)
(ZEP)
-
f •
METITOD OF PA
0 CASH 0 CHECK
DATE:
EXPIRES:
BANKCARD NUMBER
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
1 OF UNITS
X
COST
EQUALS
AMOUNT
1
FUEL BURNING APPLIANCE
• OR < 100,000
X
$15
-
2
FUEL BURNING APPLIANCE
> 100,000
X
519
-
3
UNLISTED ArTuArstE (ADDITIONAL FEE)
- OR < 400,000
X
550
-
4
UNLISTED APPLIANCE (A DDMONAL FEE)
> 400,000
X
5100
-
5
USED APPLIANCE (WSEC min. AFUE rating)
- or <400,0;0
X
550
.
6
USED APPLIANCE (WSEC min. AFUE rating)
> 400,000
X
5100
-
7
BOILER/REFRIGERATION
1 - 100M BTU
X
515
-
8
BOILER/REFRIGERATION
101 - 500M BTU
...
X
528
-
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
539
-
10
BOILER/REFRIGERATION
1001 - 1,750M BTU
'
X ,
557
-
11
BOILER/REFRIGERATION
+1750M BTU
X
895
-
12
GAS LOG, GAS INSERT, GAS FIREPLACE
-
X
510
-
RANGE
-
X
$10
-
14
DRYER
-
X
510
-
15
FUEL BURNING WATER HEATER
-
X
510
'•
16
MISC FUEL BURNING APPL.
-
X
510
-
17
GAS PIPING (ea. Outlet)
-
X
51
18
DUCT SYSTEMS
-
X
510
-
19
VENTILATING FANS
-
X
510
-
20
AIR HANDLER (DOES NOT Include ducting)
- OR < 10,000CFM
X
512
-
21
AIR HANDLER (DOES NOT Include ducting)
> 10,003 CFIvi
X
819
=
22
EVAPORATIVE COOLERS
-
X
510
-
23
TYPE I HOOD
-
X
550
=
24
TYPE 11 HOOD -
-
X
S10
=
25
HEAT PUMP/Allk CONDMON ER .
0-3 TON
X
512
=
26
AIR CONDMONER
3-15 TON
X
520
=
27
AIRCONDITIONER
15-30 TON
X
525
-
28
AIR CONDITIONER
30-50 TON
X
535
=
29
APR CONDMONER
+50 TON
X
560
-
30
LPG STORAGE TANK
-
X
510
..
31
WOOD OR PELLET STOVE/INSERT
-
X
510
-
32
WOOD STOVE - FREE STANDING
-
X
525
,..
.
.
AF -NT •
'
• - ' • VOst;K:*
SUBTOTAL:
PLUS PROCESSING FEE:
$35.00
TOTAL PERMIT FEE DUE:
0 CASH 0 CHECK
DATE:
EXPIRES:
BANKCARD NUMBER
AUTHORIZED SIGNATURE: