2008, 06-13 Permit App: 08002275 Water Heater*Mane
_ F alley'
Community Development
Mechanical Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevallev.org
PERMIT NUMBER: 3. -,Pa 7�
PERMIT FEE:
n Commercial 0 Residential
SITE ADDRESS:
1?07 ,,Heienvp
Building Owner ,
11.-7 Phone: -)37 i/// Fax:
Name: --lo Ara C1 / A)r/i ` Y
Address: n city ,/ state Zip. J
/80% F.�d�-Pf�CU S I/a�P Lb(' C,t )/a .?/�C
-nn
Contractor '',
- .,.
/ --7
.�{- ',, �I �1 L Phone: i7 57 _65-�i / Fax:
Name: SCA-/ V' %4 )I' S'I ry
Address: 4---,g...2 O F/10n el--; City:snit /� n C State: WA_ Zip: 942//2
License CityNo:Busis Lic:
SPoK� FPg2ZSz nyep
Contact
Name: Phone
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
UNLISTED APPLIANCE (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 - 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
=
/0 -crU
16
MISC. FUEL BURNING APPLIANCE
X
$1000
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 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
$5000
=
24
TYPE II HOOD
X
$1000
=
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12.00
=
26
AIR CONDITIONER
4-15 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 & 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 0 VISA 0)4_5
CARD #: (
EXPIRES'
SUBTOTAL
/O,oD
PROCESSING FEE
$35.00
r / _, n N II
TOTAL PERMIT FEE DUE:
/,
y5, &t
AUTIIORIZED SIGNATURE:
Effective 10-28-07
P:Commueity DevelopmentWonns\Building forms\Mechanical Permit Application.doc