2009, 12-28 Permit App: 09004097 Water Heater!Scacane
Permit Center .
11707 E Sprague Ave, Suite 106
:cell*
valley - (509)688-0036 FAX: (509)688-0037
Spolcane Valley, WA 99206
Development www
Mechanical Permit Application
SITE ADDRESS:
Buftdngowutr
Name:
Address:
Namm
S-
c.prEetitik 5-
Adchms:
Commercial
L
platUdn4B AtER: L
PERMIT PEE:49
evidential
aSSIIIIffaanigis
' Minallarig
ilaeg •
11 q
Licemse No: gc, vssterki
ilt
oascidi• nOtib# WORK 1. •
1 RnEt
2 FUlaleljANIS APPLIANCE
3 UNLISithielabt Miami Fee
4 ithiLiGtE6APPLiaCE Additional Fee
5 USED APPLIANCE SEC mkt. AFUE
USED APPIJANon SEC AFUE rag
BOILERMEFRIGERAllON
B�LEWREFW
9 nolLESIEFR6514ATIoN
18.01
:001LEIVHIPBIGEHBliON
iLod, dAiii•SEHT, GAS FIREPLACE
RANGE:::
DRYER....
FU821311ANING WATER HEATER
MISC. FUEL:BURNING APPLIANCE
GAS PIPING each outlet
Qua SYSTEMS
VENTILATING FANS
AIR HANDLER • • ES NOT Include cl
AIR HANDLER .0ES NOT include ductin
evApOiiivn)it cooLaos
TYPE I HOOD
TYPE II
HEAT PLIMP/AIR CONDITIONER
:AIR CONDITIONER
MR GONDmONER
CONDITIONEB::
AIR CONOITIONEik
G -t•
cto
',Contact '
Name:
6
7
10
i I .•
12 '
13
14
15
18:
17.
18
19
20
• •
21
22
24
25
27
28
29
30
31
32
- 34
"35
LPG STORAGE TANK .
WOOD OR PELLET STOVE/INSERT
WOOD STOVE - FREE STANDING
•
REPAIR & ADDITIONS
VENTILATION SYSTEMS
.VENTILATION MECHANICAL EXHAUST
INCINERATOR - RESIDENCE
INCINERATOR - COMMERCIAL
cel
-5306
4h40. /feet staw:
METHOD OF PAYMENT:
•EICA•SH 11:1 CHECK El VISA D'MC
CARD 5.
AUTHORIZED SIGNATURE:
BEYISED MOOS
PI' (42
city:
City Busincss
Fax:
vue.
J t) -2.-It/(0 Ce// "-
SOF UNITS X ' COST
to or less than100,000 X 512.00
More than 100.000 X 515.00
to or less than 400,000 X 550.00
More than 400 000 X 5100.00
to or leis than 4C0 X 550.00
Mom than 4130,000 X 5100.00
1 - 100M BTU X 512.00
101 - 500M BTU X $20.00
501 1 ODOM BTU X 525.00
1,001 - 1 750M BTU X 535.00
More than 1 750M BTU X
X i10.00
X
510.00
X 510 CO
X 510.00
X 510.00
X 51.00
X 510.00
X 510.00
to or less than 10 000 CFM X 512.00
Greater than 10.000 CFM X 515.00
X 510.00
X 550.00
X 510.00
0-3 TON X 512.00
3-15 TON X 520.00
15-30 TON X 525.00
30-50 TON X 535.00
More lhan 50 TON X 560 00
X 510 00
X 510.00
X $25.00
X 515.00
X 512.00
512.00
X 519.00
X 522.00
SUBTOTAL
PROCESSING FEE
TOTAL PERMIT FEE DUE:
•tp:
TOTAL AMOUNT
535.00