2007, 03-07 Permit App: 07000701 Mechanical FixturesPermit Center
SiStika`n- pe -• 11707 E Sprague AvJ,Su ti
Va1Iey Spokane Valley, WAL999 h., MAR n�
(509)688-0036 FAX-(509�688-O�NI\ 2W!7
Community Development www.spokanevalley.e
Mechanical Permit Application ,fes"I Commercial
SITE
SITE ADDRESS: Mile � %. cK r-`'i4i IAN u u`
C E DI06
PERMIT NUMBER:
PERMIT FEE:
Residential
10
Building Owner
1 �i1Tes ycI- rti
Name:
a-17( %A^ -€S t•C r .--/ I.
Phone: ' 14sr7 /o- Fax:
Address:
G
I t4tos E. c„,..4edas Ave.
City Spo/Leon e lock(( Py
State:
��lI�
I.//4
Zip:
c/432..
1
Contractor
ot,.,/f e.. -
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business Lic:
Contact
Name:
Phone:
DESCRIPTION OF WORK
OF UNITS X
COST
= TOTAL AMOUNT
FUEL BURNING APPLIANCE
Equal to or less than 100 000
X
512.00
2
FUEL BURNING APPLIANCE
More than 100,000
X
515.00
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
X
550.00
4
UNLISTED APPLIANCE (Additional Fee)
More than 400,000
x
5100.00
5
USED APPLIANCE (WSEC min. AFUE rating)
Equal to or less than 400,000
X
550.00
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
520.00
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
525.00
10
BOILER/REFRIGERATION
1,001 - 1,750M BTU
X
$35.00
11
BOILER/REFRIGERATION
More than 1,750M BTU -
X
560.00
12
13
GAS LOG GAS INSERT)GAS FIREPLACE
RANGE
/
X
510.00
/0, 0 0
X
$10.00
14
DRYER
x
510.00
15
FUEL BURNING WATER HEATER
X
510.00
16
MISC. FUEL BURNING APPLIANCE
X
510.00
17
GAS PIPING (each outlet)
X
$1.00
18
DUCT SYSTEMS
X
510.00
/t7.(20
19
VENTILATING FANS
X
510.00
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
X
512.00
dol. 00
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10 000 CFM
X
$15.00
22
23
24
25
26
27
EVAPORATIVE COOLERS
TYPE I HOOD
TYPE II HOOD
HEAT PUMP/AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
0-3 TON
3-15 TON
15-30 TON
X
X
X
X
X
X
510.00
550.00
$10.00
512.00
$20.00 _
525.00
28
AIR CONDITIONER
30-50 TON
X
535.00
29 _
AIR CONDITIONER
More than 50 TON
X
580.00
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
$15.00
34
VENTILATION SYSTEMS
X
512.00
35
VENTILATION MECHANICAL EXHAUST
x
$12.00
36
INCINERATOR - RESIDENCE
x
$19.00
37
INCINERATOR - COMMERCIAL
x
522.00
METHOD OF PAYMENT:
DCASH 0 CHECK ❑ VISA 0 MC
CARD #:
,AUTHORIZED SIGNATURE:
REVISED 826/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
TOTAL PERMIT FEE DUE:
5355.00
517
/�0 1