2003, 11-05 Permit App: BLD-03-02990 Wood StoveSpokane
Valley
Mechanical Permit Application
11707 East Spra,gue Avenue, Suite 106 509-688-0036 - Phone
509-688-0037 - Fax
Spokane Valley, WA 99206
METHOD OF PA
/CASH
DESCRIPTION OF WORK
I OF UNITS
X
COST
EQUALS
PROJECT
ADDRESS: p1C-3C/i
A7 - E\
TC;#
PERMIT
USE:
,WI Ilea_
t -/M,`-
-
PHONE (Daytime Contact):
9
_�f�9MAILING
> 100,000
ADDRESS:
3�oy/
n
at
o
.If'CCM
z
7W/c
3
—�
2c,(-
(street)
X
$50
-
(city/state)
(ZIP)
UNLISTED APPLIANCE (ADDITIONAL FEE)
CONTRACTOR:
X
$100
-
LICENSE tl:
5
USED APPLIANCE (WSEC min AFUE rating)
MAILING ADDRESS: - •
-
-
, $50
-
PHONE #:
6
USED APPLIANCE (WSEC min. AFUE rating)
>400,000
-
X
(street)
-
7
(city/state)
(ZIP)
X
$15
-
8
BOILEWREFRIGERATION
101- 500M BTU
METHOD OF PA
/CASH
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
f
DESCRIPTION OF WORK
I OF UNITS
X
COST
EQUALS
AMOUNT
1
FUEL BURNING APPLIANCE
• OR <100,000
X
' 5I5
-
2
FUEL BURNING APPLIANCE ,
> 100,000
X
$19
-
3
UNLISTED APPLIANCE (ADDMONAL FEE)
•OR<400,000
X
$50
-
4
UNLISTED APPLIANCE (ADDITIONAL FEE)
> 400,000
X
$100
-
5
USED APPLIANCE (WSEC min AFUE rating)
•dr<400,000
-
X
, $50
-
6
USED APPLIANCE (WSEC min. AFUE rating)
>400,000
-
X
$100
-
7
BOILER/REFRIGERATION
I - NOM BTU
X
$15
-
8
BOILEWREFRIGERATION
101- 500M BTU
X
$28
-
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$39
-
10
BOILER/REFRIGERATION
1001- 1,750M BTU
X
$57
-
11
BOILER/REFRIGERATION
+1750M BTU
X
$95
•
12
GAS LOG, GAS INSERT, GAS FIREPLACE
-
X
$10
-
13
RANGE
-
X
510
-
14
DRYER
-
X
$10
-
15
FUEL BURNING WATER HEATER
-
-
X
$10
-
16
MISC FUEL BURNINGAP_PL,
... -.-�_ _._
____
X.-_...RO_..
.
___
17
GAS PIPING (ea. Outlet)
-
X
$1
. -
1B
DUCT SYS( MS
-
X
$10
-
19
VENTILATING FANS
-
-
X
$10
-
20
AIR HANDLER (DOES NOT include ducting)
• OR<10,000CFM
X
$12
-
21
AIR HANDLER (DOES NOT include ducting)
>10,OW CFM
X
$19
-
22
EVAPORATIVE COOLERS
-
-
X
$10
-
23
TYPE I HOOD -
-
X
$50
•
24
TYPE II HOOD
-
X
$10
-
25
HEAT PUMP/AIRCONDMONER
0-3 TON
X
$12
-
26
AIR CONDITIONER
3-15 TON
X
$20
•
27
AIR CONDITIONER
15-30 TON
X
$25
•
28
AIR CONDITIONER
30-50 TON
X
635
-
29
AIR CONDITIONER
+50 TON
X
$60
•
30
LPG STORAGE TANK
-
X
$10
-
31
WOOD OR PELLETSTOVE/INSERT
-
!Cif es--
X
. $10
-
32
WOOD STOVE - FREE STANDING
-
X
525
-
/C00
HENT
IFK
C
Siii
n n I
SUBTOTAL:
PLUS PROCESSING FEE:
$35.00
TOTAL PERMIT FEE DUE: /��—�-
-r-•�
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
f