2006, 03-23 Permit App: 06000990 Water Heater, Piping® ® Permit Center
poky ,te 11707E Sprague Ave, Suite 106
11ey Spokane Valley, WA 99206
.4000 (509)666-0036 FAX: (509)688-0037
Community Development ww-w.spokanevallev ore corn
Mechanical Permit Application In Commercial
PERMIT NUMBER: 4990
PERMIT FEE:/„r
Residential rr
SITE ADDRESS: a?/// /J ,nick M bkref,--ve LJJ4 99x/c2
Building owner
Name: NM v GU&(i klGi{
Phone: (5051)89/-9%/79 Fax:
Address: „?/// Al r Click. a
City: SPokr sE state: WA
Zip 9Fa/a2
. Contractor
Name: &PF/Cl1=r•JCY ACUS
i-l.J)�C
Phoner5D9)%1(e-9QCXj Fax: �--
Address: /6/02// 6 £ROA+owdtt
City: Sib waN? State: w4
zip:e3G/'021,..2
License No: EF'F i CP N 99 / r 7
City Business License No:
Contact _
Name:j LrrT GDOD mAtk
Phone:C2D9)o1IG"SCd/S/o?/6-3/...DG
DESCRIPTION OF WORK
# OF UNITS X
COST
= TOTAL AMOUNT
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 (Adtldional 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
.560.00
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
$10.00
13
RANGE
X
510 00
14
DRYER
X
510 00
15
FUEL BURNING WATER HEATER
X
510 00
/0
16
MISC FUEL BURNING APPLIANCE
X
$10 00
17
GAS PIPING (each outlet)
X
$1.00
18
DUCT SYSTEMS
X
510 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 MOOD
X
550 00
24 -
TYPE II HOOD
X
$10.00
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
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
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:
CCASH 0 CHECK Q VISA 0 MC
CARD
AUTHORIZED SIGNATURE:
DATE:
EXPIRES'
SUBTOTAL
PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE:
46th
REVISED 826/05