2009, 12-08 Permit App: 09003915 Mechanical FixturesSpokane
40,00Valley=
Community Development
Mechanical Permit Application ❑ Commercial
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcenter@spokaneyalley.org
PERMIT NUMBER: "Z)C'k1
PERMIT FEE: Co 9
residential
SITE ADDRESS:
Building Owner ,.
Name: i
/Oc nude,/ Phone: g2 1_776"0 Fax:
` /
Address: �/ City:/ 9
- ��`L� f `O1. « Zip:
�94 /VY I 1 SI-
I
Contractor
Name: ,1v - �^� Phone: 31p�- 73.7 :
P�e
Address: Q j10 . u,
,, /9 ,'` - City: '�y/ State: Zip.
u ,V �
License No: City Business Lic:
Contact
Name:
lee*?
DESCRIPTION OF WORK
Phone:
# OF UNITS
X
COST
=
TOTAL AMOUNT
•
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
1
X
$12.00
=
1- 9-
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 (Additional 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
$60.00
=
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
$10.00
=
13
RANGE
X
$10.00
=
14
DRYER
X
$10.00
=
15
FUEL BURNING WATER HEATER
X
$10.00
=
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
=
17
GAS PIPING (each outlet)
/
X
$1.00
=
l
18
DUCT SYSTEMS
X
$10.00
=
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 I HOOD
X
$50.00
=
24
TYPE II HOOD
X
$10.00
=
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
l
X
$12.00
=
1
26
AIR CONDITIONER
4-15 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
$60.00
=
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:
❑CASH 0 CHECK 0 VISA 0 MC EXPIRES:
CARD #: .• VIN:
SUBTOTAL
PROCESSING FEE
835.00
TOTAL PERMIT FEE DUE:
Zoo
AUTHORIZED SIGNATURE:
REVISED 8/26/05