2005, 07-12 Permit App: 05002359 ACMECHANICAL PERMIT APPLICATION
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;$%y Phone: (509) 698-0036; FAX: (509) 688-0037
For Inspections, Call (509) 688-0054
Project Addre s:
Owner.
Mailing Address:
Contractor. -a
Mailing Address:
Community Development Department
Building Division
^�� 11707 E. Sprague Avenue, Suite 106
UVJ �Sf Spokane Valley, WA 99206
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
# OF UNITS X
COST
- TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 1DD,o00
X
$12.00
=
2
FUEL BURNING APPLIANCE
More than 100,000
X
$15.DO
-
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 SEC min. AFUE rafin
Equal to or less than 4DO,DDD
X
$50.00
-
6
USED APPLIANCE SEC min. AFUE rating)
More than 4D0,000
X
$100.00
-
7
BOILER/REFRIGERATION
1 - 100M BTU
X
$12.00
-
8
BOILERIREFRIGERATION
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
$60.00
=
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
$10.00
=
RANGE
X
$10.00
=
DRYER
X
$10.00
L15
FUEL BURNING WATER HEATER
X
$10.00
MISC. FUEL BURNING APPLIANCE
X
$10.00
-
17
GAS PIPING each outlet
X
$1.00
-
18
DUCT SYSTEMS
X
$10.00
-
19
VENTILATING FANS
X
$10.01
=
20
AIR HANDLER DOES NOT include ducting)
Equal to or less than 10,ODO 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 I HOOD
X
$50.DD
=
24
TYPE II HOOD
X
$10.00
=
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12.00
- �2
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
$35.00 -
29
AIR CONDITIONER
More than 50 TON
X
$60.DO -
30
LPG STORAGE TANK
X
$10.00 =
31
WOOD OR PELLET STOVE/INSERT
X
$10.00 -
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
$12.00 =
36
INCINERATOR - RESIDENCE
X
$19.00 =
37
INCINERATOR - COMMERCIAL
X
$22.00
METHOD OF PAYMENT:
O CASH ❑ CHECK ❑ VISA ❑ MC
CARD it
DATE:
EXPIRES:
SUBTOTAL
PROCESSING FEE
TOTAL PERMIT FEE DUE:
J
$35.01
7
AUTHORIZED SIGNATURE: