2004, 09-28 Permit App: BLD-04-07792 Mechanical FixturesSpokane
Dalley
- 3,1(
Project Address: 2 yo 5 /✓ c•
Owner: k a. 4 ruDr
MECHANICAL PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuildingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0054
Permit Use:
Phone (Daytime Contact): 92,7— 77 YO
Mailing Address: — SgMI L
City Z State Zip Code
Contractor: A.00crso,:s S//eci merML License #: ANOER5m/Std7 Phone #: 7.2P-o,e o
Mai ing Address: /77o 3 t ritt.,7
Ci
State
AUTHORIZED SIGNATURE.
Zip Code
DESCRIPTION OF WORK
# OF
UNITS
X
COST
=
TOTAL
AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
2
X
515 00
=
3 C7
2
FUEL BURNING APPLIANCE
More than 100.000
X
51900
=
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or Tess 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
5100 00
=
7
BOILER/REFRIGERATION
1 - 100M BTU
X
515.00 -
8
BOILER/REFRIGERATION
101 - 500M BTU
X
528.00
=
9
BOILER/REFRIGERATION
501 -1.000M BTU
X
539 00
=
10
BOILER/REFRIGERATION
1,001 - 1,750M BTU
X
557.00
=
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
595.00
=
12
GAS LOG. GAS INSERT, GAS FIREPLACE
X
510.00
13
RANGE
X
510.00
14
DRYER
X
$1000
=
15
FUEL BURNING WATER HEATER
X
510.00
=
16
MISC. FUEL BURNING APPLIANCE
X
510 00
17
GAS PIPING (each outlet)
2.
X
51.00
=
2
18
DUCT SYSTEMS
X
$1000
=
19
VENTILATING FANS
X
510.00
=
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
519.00
=
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
512.00
=
26
AIR CONDITIONER
3-15 TON
X
52000
=
27
AIRCONDrONER
15-30 TON
X
52500
28
AIR CONDITIONER
30-50 TON
X
535.00
=
29
AIR CONDITIONER
More than 50 TON
X
560 00
30
LPG STORAGE TANK
X
$10.00
=
31
WOOD OR PELLET STOVE/INSERT
X
$10.00
=
32
WOOD STOVE - FREE STANDING
X
525.00
=
METHOD OF PAYMENT:
0 CASH 0 CHECK ❑ VISA 0 MC
CARD #:
DATE.
SUBTOTAL
PROCESSING FEE
EXPIRES'
TOTAL PERMIT FEE
—5335.00
6 /• OD
AUTHORIZED SIGNATURE.
Zip Code