2006, 01-06 Permit App: 06000050 Mechanical FixturesSpokane
Val ley
Community Development
Mechanical Permit
Permit Center
11707 E Sprague Ave, Suite 106 •
Spollane Valley, WA 99206 ;3•
(509)688-0036 FAX: (509)688-0037
www.spokan eval l ey. ora.con1
Application ❑ Commercial
Residential
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PERICIIT-`F
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SITE ADDRESS E, /2 9 / S CA -i- JC/o
Buildie
orier:':
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Name:
13 n%i Co LC
Phone:
9a8-79 No
Fax
Address:
E /a l /S Cctfa 1 do
City S e kine Vigil State pJ4
Zip 993 /L
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-Contractor .: . - t, _ ;'�- . . ..�¢
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Name:
AA/DE2s0 A)'S S%/se% AIGTA L-
Phone:
'2t - a 2i, o Fax: pc2 - 3d$
Address:
E. /3/0 3 -maw r
City s/okan .Ma
State /Jot , Zip 99x/.6
License No: ANDoe s45158 Al V___
City Business License
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Contact
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Name:
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Phone:
¶14-0%60
DESCRIPTION OF WORK
#OF UNITS X
COST
= TOTAL AMOUNT
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
512.00
, 015
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
512.00
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
O
11
BOILER/REFRIGERATION
More than 1,750M BTU
x
560.00
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
510.00
16
MISC. FUEL BURNING APPLIANCE
x
$10.00
17
GAS PIPING (each outlet)
x
51.00
0.O
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
512.00
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10,000 CFM
X
$15.00
22
EVAPORATIVE COOLERS
X
510.00
23
TYPE I HOOD
x
550.00
24
TYPE II HOOD
X
510.00
25
HEAT PUMP/AIR CONDITIONER._. . .
._ 0-3 TON
X
$12.00
26
AIR CONDITIONER
3-15 TON
x
$20.00
27
AIR CONDITIONER
15-30 TON
x
$25.00
28
AIR CONDITIONER
30-50 TON
X
535.00
29
AIR CONDITIONER
More than 50 TON
X
$60.00
30
LPG STORAGE TANK
x
$10.00
31
WOOD OR PELLET STOVE/INSERT
x
510.00
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
512.00
36
INCINERATOR - RESIDENCE
X
519.00
37
INCINERATOR - COMMERCIAL
x
522.00
METHOD OF P MENT:
❑CASH YCHECK 0 VISA 0 MC
CARD #:
•
DATE: /-.Y-0(0
EXPIRES:
AUTHORIZED SIGNATURE:
SUBTOTAL
as
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
do. co
REVISED 8/26/05