2009, 01-13 Permit App: 09000077 Wood StovePermit Center
Scolt n_ e 11703 E Sprague Ave, Suite I3-3
p l�il` Spokane Valley, WA 99206
Volley (509)688-0036 FAX: (509)688-0037
Community Development permitcenterQ spokanevalley org
Mechanical Permit Application n Commercial
PERMIT NUMBER:0077
PERMIT FEE:
esidential
SITE ADDRESS: 2 // 9 Sr 3/5/I/--7,qN - ,1yc . !20 SP 61---4-
Building Owner =CA,LV/X/ G/fjq-ti2r-
Name. CAU4v/� J iPA�7
Phone: gy/p-70 �
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Fax:
Address: R, /y s D/(5 ./ Ax- .0.4.4(c. -Al
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City: ..,/
State:�� 4
Zip:
Contractor /5` ✓.
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Name
Phone:
Fax:
Address-
City:
State:
Zip.
License No.
City Business Lie:
Contact - ---_- - -- _
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-
-
Name:
Phone:
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
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
512.00
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
535.00
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
560 00
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
$10.00
13
RANGE
X
$10.00
14
DRYER
X
510.00
15
FUEL BURNING WATER HEATER
X
$10.00
16
MISC. FUEL BURNING APPLIANCE
X
51000
17
GAS PIPING (each outlet)
X
51.00
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
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
4-15 TON
X
520.00
27
AIR CONDITIONER
15-30 TON
X
525.00
28
AIR CONDITIONER
30-50 TON
X
$35.00
29
AIR CONDITIONER
More than 50 TON
X
560 00
30
LPG STORAGE TANK
X
$10.00
31
WOOD OR PELLET STOVE/INSERT
X
510.00
32
WOOD STOVE - FREE STANDING
X
525.00
33
REPAIR 8 ADDITIONS
X
515.00
34
VENTILATION SYSTEMS
X
512.00
35
VENTILATION MECHANICAL EXHAUST
X
512.00
36
INCINERATOR — RESIDENCE
X
519.00
37
INCINERATOR — COMMERCIAL
x
522.00
METHOD OF PAYMENT:
UCASH ❑ CHECK ❑ VISA ❑ MC
CARD#:
AUTHORIZED SIGNATURE:
REVISED 526/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE: