2013, 04-26 Permit App: BLD-2013-0733 PipingVane
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX (509)688-0037
Community Development www,snokanevallev.ora
Mechanical Permit Application
SITE ADDRESS:
Commercial
PERMIT NUMBER:
PERMIT FEE:
Residential
Building OWner N.,4c c)to, _
RECEIVED
Name: (
Phone: tng i._.5ct b i
Fax:
Address:
City:
State: APR 2 b 7:Rt3
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. .
Name:
C 0 /73 AV't /13 6 CA 17.41/ CA i
Phone: a -, 0 2.47 7
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Fax: CqV2,
1M NTER
Ad : . , . 5 8 c,,, e„ ,I,AvRct,e.5
City: 5,15,0rAtitt _/,
State: .
Zip: 9
License o: (e.--_, AY/TP C., 0 3 8t/r6
City Business Lie:
Contact
Name:
Phone:
DESCRIPTION OF WORK
# OF UNITS
X
COST
TOTAL AMOUNT
FUEL BURNING APPLIANCE
Equal to or less than 100.000
X
$1200
2
FUEL BURNING APPLIANCE
More than 100,000
X
$15.00
3
UNLISTED APPUANCE (Additional Fee)
Equal to or less than 400,000
X
$50.00
4
UNLISTED APPUANCE (Additional Fee)
More than 400,000
X
$100.00
5
USED APPLIANCE (WSEC 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 - 5DOM 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
550.00
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
$10.00
13
RANGE
X
$10.00
14
DRYER
X
510.00
15
FUEL BURNING WATER HEATER
X
510.00
16
MISC. FUEL BURNING APPLIANCE
1
X
510.00
17
GAS PIPING (each outlet)
X
51.0D
18
DUCT SYSTEMS
X
510.00
19
VENTILATING FANS
X
510.00
20
AIR HANDLER (DOES NOT include ducting) Equal to or less than 10,000 CFM
X
512.00
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10,000 CFM
X
515.00
22
EVAPORATIVE COOLERS
X
510.00
23
TYPE 11-3000
X
550.00
24
TYPE II HOOD
X
510.00
25 1-1EAT PUMP/AIR CONDITIONER
0-3 TON
512.00
26 AIR CONDITIONER
3-15 TON
X
520.00
27 AIR CONDITIONER
15-30 TON
X
525.00
28 AIR CONDITIONER
30-50 TON
X
29 AIR CONDITIONER
More than 50 TON
X
535.00
560.00
30 LPG STORAGE TANK
X
510.00
31 WOOD OR PELLET STOVE/INSERT
X
510.00
32 WOOD STOVE - FREE STANDING
X
525.00
33 REPAIR & ADDITIONS
X
515.00
34 VENTILATION SYSTEMS
X
512.00
35 VENTILATION MECHANICAL EXHAUST
X
512.00
36 INCINERATOR - RESIDENCE
X
519.00
37 INCINERATOR - COMMERCIAL
X
522.00
METHOD OF PAYMENT:
OCASH DCHECK O VISA DMC
CARD
AUTHORIZED SIGNATURE:
REVISED MVOS
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE: