2005, 11-02 Permit App: 05004148 Mechanical FixturePermit Center
SpoKane _ 11707 E Sprague Ave, Suite 106
jUalley Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037 _'
Community Development www.spokanevallev.orn.com
Mechanical Permit Application ❑ Commercial
PERMIT NUMBER: -4I 4g
PERMIT FEE:
-
Residential
SITE ADDRESS: 2 4" /. A -4 E- f H- 7\ 6. L.
3-4,k/rout v41 "t 997-/ 2
..Building owner
Name: /)/.}.0 //7 Pf r 2S
Phone: &9 3 es- / C Fax:
Address: 2 °// ird ti fc / /z /} ,Q E f hd
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City:5,%'.,1, /)->✓C.Z Cd4I ? State: [{/
Zip:Q `1 2/2—
Contractor _ .. _. -- ''
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Name: 5 9n/! /p"
Phone: Fax
Address: f
City: State:
Zip
License No-
City Business License No:
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Name:
Phone:
DESCRIPTION OF WORK
#OF UNITS X
COST
= TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
r
X
$12 00
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
$1000
14
DRYER
X
$10 00
15
FUEL BURNING WATER HEATER
X
$10 00
16
MISC. FUEL BURNING APPLIANCE
X
510 00
17
GAS PIPING (each outlet)
X
$1 00
18
DUCT SYSTEMS
X
$10 00
19
VENTILATING FANS
X
510 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
$1500
22
EVAPORATIVE COOLERS
X
$10 00
23
TYPE I HOOD
X
550.00
24
TYPE II HOOD
X
' $1000
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12 00
26
AIR CONDITIONER
3-15 TON
X
$20 00
27
AIR CONDITIONER
15-30 TON
X
525 00
28
AIR CONDITIONER
30-50 TON
X
535 00
29
AIR CONDITIONER
More than 50 TON
X
560.00
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:
DATE'
EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
REVISED 8/26/05