2008, 09-17 Permit App: 08003667 Mechanical FixturesSpokane
41ey.
Community Development
Mechanical Permit Application n Commercial
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www. spokaneval I e v.ore
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PERMIT NUMBER:
PERMIT FEE: / O
Residential
SITE ADDRESS. 19 t / f( -
Cnr I151e_
:Buddin Ovner , .. .:,. ,,.�
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Name: 1 Cn OMC I_
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Phone: V/-
Fax: y/�
Address -1°I1i f Car i,1ic
Ci 11��
t1 5P.icce Vnt(€yW/g
State:Zr
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'Contractor .
.,
: . - ., -, /,
Name
t=16LM`Lewdrks Jri,/
Phone:
'710-ob7t/t
Fax
�SB9) `726-4Sg9
Address: Ito o� Hl 5- /r}, r j()xr F
C1ty' 5pdkw4L Urt (ley
State: W d Zip: 4�c1 0 97
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License No Fl A -NI EI °13110 e !
City Business Lic `0 2 5 15-
SContaet _
Name. 'T'c
Phone: 71 p 4
DESCRIPTION OF WORK
# OF UNITS
X
COST
= TOTAL AMOUNT
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
$12.00
I2
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
$12.60
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
sio.do
13
RANGE
X
$10.00
10
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)
X
$1.00
18
DUCT SYSTEMS
X
$10.00
10
19
VENTILATING FANS
3
X
$10.00
30
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
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
Ia
36
INCINERATOR - RESIDENCE
X
$19.00
37
INCINERATOR - COMMERCIAL
X
$22.00
METHOD OF PAYMENT:
CCASH C CHECK ilVISA C MC
CARD #'.
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:0 /251'0
VIN:
SUBTOTAL
7S
PROCESSING FEE
TOTAL PERMIT FEE DUE:
$35.00
A 1 I o 0d