2008, 06-05 Permit App: 08002132 Water HeaterSpokane
Community Development
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevalley.org
PERMIT NUMBER:g'-2 f 32-
�
PERMIT FEE: 6 3
Mechanical Permit Application n Commercial VI Residential
srrE ADDRESS:
3711 Ely Zee
Building Owner:__
Name: Joe_ 'Lll% vl(y
g7) 24eL
Address:
Contractor:
Phone: 92s___ i 1 Q' Fax:
City: Spot�a r, e O%t �l ey: State WA -
Zip: 9
9.vz
Name: Sebll MCH I 1 c��r
Address: sc2,20Al /./D)1 (?„1--
Phone:
?
License No: SPcK4 ,P9 ZZSZ
Phone: 957 _66-07 Fax:
City:Sc5<ck t�
City Busihess Lic:
State: 60,9_
Zip: 99�/2
Contact
Name:
Phone:
DESCRIPTION OF WORK
# OF UNITS
X
COST
TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
$12.00
2
FUEL BURNING APPLIANCE 1
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
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
22
AIR HANDLER (DOES NOT include ducting)
EVAPORATIVE COOLERS
Greater than 10,000 CFM
X
$15.00
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
$12.00
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 ❑ CHECK ❑ VISA ❑ MC
CARD #:
AUTHORIZED SIGNATURE:
Effective 10-28-07
EXPIRES:
VIN:
SUBTOTAL
/0,av
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
P:\Community Development\Forms\Building forms\Mechanical Permit Application.doc
UBI: 601 539 211 1 1
Licenses Applied For:
Fees:
tiwee, $ 13./00
J
$
APPLICATION FEE $ 15.00
Total Fees Due: $ I(
I, the undersigned, declare under the penalties of perjury and/or the
revocation of any license granted, that I am the applicant or authorized
representative of the firm making this application and that the answers
contained, including any accompanying information, have been examined by
me and that the matters and things set forth are true) correct and complete.
o
Signature �� 104,Date / � / D
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City
Inqa MMenu
LISTATE OF WASHINGTON
Department of
/icEnsinc
RECEIV D S b it-ae`�
$ C2, Weep r -' n )
FOR 8 +v • c�i
DOLLARS
REVENUE ACCT CODE
i[1
6a/
3V 0211
J
BY
V v 1
HOW PAID
❑ CASH
❑ CHECK #
NI MONEY ORDER
DOL -200-084 RECEIPT BOOK (R/8/90)
CUSTOMER'S COPY
UBI: 601 539 211 1
Last MBA Processed: 05/05/2008
Entity Type: SOLE PROPRIETOR
Legal Entity Name:
MCALLISTER, SCOTT ERIC
Governing Person Names Title
MCALLISTER, SCOTT ERIC
06/05/2008
16:24
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City Inga MMenu
UBI: 601 539 211 1
Firm Name: SPOKANE FALLS PLUMBING & RESTORATION
Mailing Addr: 52201N ELTON CT
SPOKANE WA 99212 1610
Physical Addr: 5220,N ELTON CT
SPOKANE WA 99212 1610
Bus Phone: 509;951 6507
FAX:
Product/Service:
Services
Service Plumbing And Water/Flood Cleaning
06/05/2008
16:26
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City Inqa MMenu
Master License Service
Department of Licensing
PO Box 9034
Olympia WA 98507-9034
Telephone (360) 664-1400
UBI &D! cJ 1 (7?1
Owner Name _^ V 11� ^' 4L Is+e r
S60.49 -a -60.49 -a -Y
City Business License Addendum
SIDE B: For A Business Location Outside City Limits (Non -Resident)
This form must be submitted with a completed Master Business Application form and required fees.
Please Note:
• Read the instructions on Side A of the form before completing this page.
• Select cities from the list below to which you will travel to conduct business. Use the other side of this form to apply for the
city license for the city in which your business is physically located.
• You must apply for businessllicensure directly with cities not listed on this form. Contact the Master License Service
regarding the City of Richland.
• In Section 2 of the Master Business Application, write the city name and fee for each city you selected below.
this section for city licenses with no physical location inside the city limits.
1. From the cities noted below; list all the cities
Anacortes $30 Gig Harbor
Bellevue $29 Issaquah
Bonney Lake $60 1 Lake Stevens
Covington $36 j Marysville
. Duvall $55
where you will travel into to conduct business.
$20 Sammamish $15 Sultan $75
$60 Sumner $40
$25 Spokane Valley $13 Tumwater
$50
$50 - ood $35 Zillah $50
City name
First date of business
Previous city license number
(if known)
Fee amount
6 gafie. Oamy
$ 13,0D
fp
$
$
$
$
$
$
$
Total due for non-resident cities
$ 13L
2. Are you applying for your business as a nonprofit organization?
If yes, attach a copy of your IRS nonprofit certificate issued under section
3. Are you a general or specialty construction contractor?
If yes, provide the Dept. of Labor & Industries registration number (if known):
4. Do you provide utility service (telephone/cellular/ISP, cable, gas, electric,
■ Yes ■ No
501(c) of the IRS code.
• Yes • No
garbage)? • Yes ■ No
BLS 700-060 (R/01/0S) PAGE 2 OF 2