2003, BD03-392 Mechanical FixturesaT� c �w�,,,
St+alane
4000 Valley
Mechanical Permit Application
11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone
Spokane Valley, WA 99206
509-688-0037 - Fax
PROJECT_
ADDRESS: \?C L. 5
Th
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PERMIT
USE:
# OF UNITS
X
COST
OWNER:'PHONE
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(Daytime Contact): (p 2 /_ C/C, '7
7
MAILING ADDRESS:
t
X
eft
-
_ ' (s t)
(ZIP)
FUEL BURNING APPLIANCE
> 100,000
CO CT
`cJ4
LICENSE #: j
' t_ `\
1612
UNLISTED APPLIANCE (ADDITIONAL FEE)
MAILING ADDRES :
PHONE #:
$50
.-
4
4
UNLISTED APPLIANCE (ADDITIONAL FEE)
> 400,000
(street)
(city/state)
(ZIP)
5
METHOD OF PA
❑ CASH ❑ C
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
# OF UNITS
X
COST
EQUALS
AMOUNT
1
FUEL BURNING APPLIANCE
- OR < 100,000
X
$15
-
2
FUEL BURNING APPLIANCE
> 100,000
I
X
819
-
f'7.O
3
UNLISTED APPLIANCE (ADDITIONAL FEE)
- OR <400,000
X
$50
.-
4
4
UNLISTED APPLIANCE (ADDITIONAL FEE)
> 400,000
X
$100
5
USED APPLIANCE (WSEC min. AFUE rating)
- or <400,000
X
$50
-
6
USED APPLIANCE (WSEC min. AFUE rating)
> 400,000
X
$100
-
7
BOILER/REFRIGERATION
1 - 100M BTU
X
$15
-
8
BOILER/REFRIGERATION
101- 500M BTU
X
$28
-
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$39
-
10
BOILER/REFRIGERATION
1001 - 1,750M BTU
X
$57
-
11
BOILER/REFRIGERATION
+1750M BTU
X
$95
-
12
GAS LOG, GAS INSERT, GAS FIREPLACE
-
X
$10
-
13
RANGE
-
X
810
-
14
DRYER
-
X
$10
-
15
FUEL BURNING WATER HEATER
-
X
$10
-
16
MISC. FUEL BURNING APPL.
-
X
810
-
17
GAS PIPING (ea. Outlet)
-
X
$1
=
18
DUCT SYSTEMS
-
X
19
VENTILATING FANS
-
X
$10
-
20
AIR HANDLER (DOES NOT include ducting)
- OR < 10,000CFM
X
$12
-
21
AIR HANDLER (DOES NOT include ducting)
> 10,000 CFM
X
819
-
22
EVAPORATIVE COOLERS
-
X
810
-
23
TYPE I HOOD
-
X
850
=
24
TYPE II HOOD
-
X
810
-
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
'
X
812
-
1 2 DO
26
AIR CONDITIONER
3-15 TON
X
820
-
27
AIR CONDITIONER
15-30 TON
X
825
-
28
AIR CONDITIONER
30-50 TON
X
$35
-
29
AIR CONDITIONER
+50 TON
X
$60
-
30
LPG STORAGE TANK
-
X
810
-
31
WOOD OR PELLET STOVE/INSERT
-
X
$10
-
32
WOOD STOVE - FREE STANDING
-
X
825
-
VIENTPLUS
VIA ';Gf.SI '
SUBTOTAL:
31 0
PROCESSING FEE:
$35.00
TOTAL PERMIT FEE DUE: (42(11
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE: