2006, 06-07 Permit App: 06002199 Mechanical Permitrermit Lenter
;•Spe"kane 11707E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development a.-vlv.$)okanevailev.ors
Mechanical Permit Application
PERMIT NUMBER: 2/ 9'9
PERMIT FEE: 4/7
(J �/� ❑ Commercial [,Residential
/
SITE ADDRESS: ! "! ) 0 t/ . ( I (, v t k (�
Building Orvner KJd l/j e? P Oa
Name: Phone: Fax:
L �, h /
Address: q .. /6 A), �Z.�IIQYI city,90 a[�O,C ,%t�/R� State: c Jo , Zip: r.3 qi�/
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Coniiactir .. (� Gv�
Name: Phone: 6 4. - 3TH Fax e6 9 /_..) 4/ /
Address:tCk>� LoCi) 5 /- pl Ci ___5,0,-1`___5,0,-1 I//State: Zip : �/
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License No: k.(6 UVIrt CC 9 i L z City BusineeS Lic: y
Contact . ,; ::.. _ 3 _ _
Name:. 0P flint. 'I rye Phone: y Z ..-J%/./.
DESCRIPTION OF WORK ,
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or Tess than 100,000
f
X
812.00
=
2
FUEL BURNING APPLIANCE
More than 100,000
l
X
$15.00
=
3
UNLISTED APPUANCE (Additional Fee)
Equal to or less than 400,000
X
850.00
=
4
UNLISTED APPLIANCE (Additional Fee)
More than 400,000
X
$100.00
=
5
USED APPLIANCE (WSEC min. AFUE rating)
Equal to or less than 400,000
X
. 850.00
=
6
USED APPLIANCE (WSEC min. AFUE rating)
More than 400,000
X
8100.00
=
7
BOILER/REFRIGERATION
1 - 100M BTU
X
$12.00
=
8
BOILER/REFRIGERATION
101 - 50DM BTU
X
820.00
=
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
825.00
=
10
BOILER/REFRIGERATION
1,001 -1,750M BTU
X
835.00
=
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
860.00
=
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
$10.00
=
13
RANGE
X
810.00
=
14
DRYER •
X
$10.00
=
15
FUEL BURNING WATER HEATER
X
$10.00
=
16
MISC. FUEL BURNING APPLIANCE
X
810.00
=
17
GAS PIPING (each outlet)
X
$1.00
=
18
DUCT SYSTEMS
. X
$10.00
=
19
VENTILATING FANS
X
$10.00
=
20
AIR HANDLER (DOES NOT include ducting)
Equal to or Tess 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 I HOOD
X
$50.00
=
24
TYPE II HOOD
X
$10.00
=
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
812.00
=
26
AIR CONDITIONER
3-15 TON
X
820.00
=
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
$60.00
=
3D
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
$15.09
=
34
VENTILATION SYSTEMS
X
$12.0D
=
35
VENTILATION MECHANICAL EXHAUST
X
$12.00
=
36
INCINERATOR - RESIDENCE
X
$19.00
=
37
INCINERATOR - COMMERCIAL
X
$22.00
=
METHOD OF PAYMENT:
❑CASH 0 CHECK 0 VISA ElMC
CARD #-.
SUBTOTAL
/2 e)''
EXPIRES:
PROCESSING FEE
835.00
TOTAL TOTAL PERMIT FEE DUE:
../ 17., °
AUTHORIZED SIGNATURE:
REVISED 6126/05