2004, 10-18 Permit App: BLD-04-07946 Plumbing Fixtures*lane
Project Address'
Owner.
Mailing Atldress:
Contractor.
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MECHANICAL PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuildingOivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0054
Permit Use:
Phone (Daytime Contact):
'City State
Mailing Address:
4 n -,E Ev 4iv02.4
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7!) /1
Zip Code
License #: Phone #: Zr/- /9011
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Sta
AUTHORIZED SIGNATURE:
Zip Code
DESCRIPTION OF WORK -
-
0 O
UNITS
X
COST
=
TOTAL
AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
315.00
=
-2--FUEL-BURNINGAPPLIANCE?
than 100 000
X
519.00
=
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400000
X
550,00
=
4
UNLISTED APPLIANCE (Additional Fee)
- More than 400,000
.X
3100.00
=
5
USED APPLIANCE (WSEC min, AFUE
rating)
Equal to or fess than 400,000
X
550.00
=
6
USED APPLIANCE (WSEC min AFUE
rating)
More than 400,000
X
5100.00
=
7
BOILER/REFRIGERATION
1 - 100M BTU •
X
$15.00
=
9
BOILER/REFRIGERATION
101 • 500M BTU
X
328.00
=
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
539.00
=
10
BOILER/REFRIGERATION
1 001 - 1,750M BTU
X
357.00
=
11
BOtLERIREFRtGERATION
More than 1,750M BTU
X
595.00
=
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
310.00
=
13
RANGE -
X
310.00
=
14
DRYER
X
310.00
=
15
FUEL BURNING WATER HEATER
X
510.00
=
18
MISC. FUEL BURNING APPLIANCE
X
310.00
=-
17
17
GAS PIPING (each outlet)
X
31.00
=
18
DUCT SYSTEMS
X
310.00
=
19
VENTILATING FANS
X
510.00
=
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
X
312.00
=
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10,000 CFM
X
319.00
=
22
EVAPORATIVE COOLERS
X
310.00
=
23
TYPE I HOOD
X
350.00
=
24
TYPE It HOOD
X
310.00
=
25
HEAT PUMPtNR CONDITIONER
03 TON
X
512.00
=
26
AIR CONDITIONER
3-15 TON
X
520,00
=
27
AIR CONDITIONER
15-3OTON
X
$25.00
=
28
AIR CONDITIONER
30-50TON
X
335.00
=
29
AIR CONDITIONER
More than 50 TON
X
560.00
=
30
LPG STORAGE TANK
X
510.00
=
31
WOOD OR PELLET STOVE/INSERT
X
310.00
-=
'32
WOOD STOVE- FREE STANDING
X
$25.00
=
METHOD OF PAYMENT:
' ❑ CASH 0 CHECK ElVISA 0 MC
CARD 5.
DATE:
SUBTOTAL
PROCESSING FEE
535.00
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
Zip Code