2011, 03-04 Permit App: 11000515 Water HeaterTr;
spokane
ill ky
MECHANICAL PERMIT APPLICATION
Phone: (509) 688-0036; FAX: (509) 688-0037
For Inspections, Call (509) 688-0054
Project Address: 13 fa -L 12)(209 .1) kot
Owner: 5.0_4 A-uteS
Mailing Address: S+ -
Con ractor: �c. ., .
Mail rig Address: 44 77o I,) M&-'&c...7.to
i i-o5�s
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
/l Spokane Valley, WA/ �99206
Permit Use: CCf,..$o .76r -u% /a'OVL
Phone (Daytime Contact): Per- O 77
City State
License #: / l ScS - 9siat Phone #: S'6( Z. o /7-ts'
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Zip Ccce
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sae
4 TY
AUTHORIZED SIGNATURE.
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
=
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
X
$50.00
=
4
UNLISTEDAPPLIANCE (Additional Fee)
More than 400,000
X
$100.00
=
5
USED APPLIANCE (W SEC min. AFUE rating)
Equal to or less than 400,000
X
$50.00
=
6
USED APPLIANCE (WSEC min. AFUE rating)
More than 400,000
X
$100.00
=
7
BOILER/REFRIGERATION
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
BOILER/REFRIGERATION
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
$10,00
=
15
FUEL BURNING WATER HEATER
X
$10.00
=
i(%9. 0°
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
AIR HANDLER (DOES NOT include ducting)
Equal to of 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 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
$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 A 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:
0 CASH ii] CHECK ❑ VISA El MC
re An a
/
SUBTOTAL
I 0 0.0
/
DATE: _...7-- .
PROCESSING FEE
$35.00
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE.