2006, 08-18 Permit App: 06003219 Mechanical FixturesSpokane
e\�`�
4.0•0Valley
Community Development
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA °3206
(509)688-0036' FAX. 509)688-0037
www.spokanevalley.orit.com
Mechanical Permit Application
o Commercial %Residential
SITE ADDRESS N. '7 7o .s 2 Ll A. ry s
Building owner
Name: A L R 0 6 E (&T S oo\)
Phone:
9 g (► 7 g 0 4/ Fax
Address: /V, l' -7 0 s- j1(A) S
City J po JCl,, If�Q(%a„ State GO o�
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Zip 9 V/-
Contractor
Name: f/2/l/DE'O /0 ' S iiEhl7 / C
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P L IMge Phone:
9a a -o960 Fax:
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Address: E , / 410 3 7Z L N T
City ?Qk 1 State
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Zip 9 9.2./‘License
No: A/t DER, ' in 91/ % D 7
City Business License :
Contact
Name: 671 /C. il-A/b67z- O/J
Phone:
f 2F -0510
DESCRIPTION OF WORK
# OF UNITS
X
COST
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
t
X
$12.00
2
FUEL BURNING APPLIANCE
More than 100,000
X
$15.00
= TOTAL AMOUNT
/0. Oa
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 SEC min. AFUE ratin
5
Equal to or less than 400,000
X
$50.00
6
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
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
17
GAS PIPING (each outlet)
18
DUCT SYSTEMS
E X l s finq
X
$1.00
X
$10.00
19
VENTILATING FANS
X
$10.00
20
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 I HOOD
X
$50.00
24
TYPE II HOOD
X
$10.00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
l
X
$12.00
26
AIR CONDITIONER
3-15 TON
X
$20.00
/a. w
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
$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 4:
AUTHORIZED SIGNATURE:
DATE:
EXPIRES:
SUBTOTAL
PROCESSING FEE
TOTAL PERMIT FEE DUE:
go0
$35.00
gr. 60
REVISED 8/26/05