2004, 02-10 Permit App: BLD-04-03519 Woodstove*lane
,,,.=Valley
Mechanical Permit Application
11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone
Spokane Valley, WA 9.9206 509-688-0037 - Fax
For Inspections, call 509-688-0054
PROJECT )ICS S/ �(/e{'� �2.Pfiyt +
ADDRESS: Ve ie -Cf C+ c.�P / (A24,99037
PERMIT
USE:
OWNER: 5 tA set ,- L / x -lex
PHONE (Daytime Contact): 2,,c,/ _ ti,,O
MAILING ADDRESS:
1I0S 5 L1/ec e_eer/1 Id 1/oz r6c-er/ IiiA 99()37
(street) (city/state) (ZIP)
CONTRACTOR: /jam 7/7 /1 / — i/e�cu 2 ci
�/
LICENSE #:
MAILING ADDRESS:
/ ( Sat 3 L _ Se rug (,�.e
Vekw, oLei r UJei q 903 7
PHONE #: 9 2 Q _�
G' �c3
- OR < 100,000
(street) (city/state) (ZIP)
METHOD OF PA
CASH 0 C
DATE:
EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
8 OF UNITS
X
COST
EQUALS
AMOUNT
1
FUEL BURNING APPLIANCE
- OR < 100,000
X
$15
-
2
FUEL BURNING APPLIANCE
> 100,000
X
$19
-
3
UNLISTED APPLIANCE (ADDITIONAL FEE)
- OR < 400,000
X
$50
-
4
UNLISTED APPLIANCE (ADDITIONAL FEE)
> 400,000
X
$100
-
5
USED APPLIANCE (WSEC min. AFUE rating)
- or <400,000
X
$50
6
USED APPLIANCE (WSEC min. AFUE rating)
> 400,000
X
8100
-
7
BOILER/REFRIGERATION
1 - 100M BTU
X
815
-
8
BOILER/REFRIGERATION
101- 500M BTU
X
$28
=
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
839
-
10
BOILER/REFRIGERATION
1001 - 1,750M BTU
X
$57
-
11
BOILER/REFRIGERATION
+1750M BTU
X
$95
=
12
GAS LOG, GAS INSERT, GAS FIREPLACE
-
X
810
-
13
RANGE
--
X
$10
14
DRYER
-
X
$10
-
15
FUEL BURNING WATER HEATER
--
X
$10
-
16
MISC. FUEL BURNING APPL.
-
X
$10
-
17
GAS PIPING (ea. Outlet)
-
X
81
=
18
DUCT SYSTEMS
-
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)
> 10,000 CFM
X
$19
22
EVAPORATIVE COOLERS
-
X
$10
=
23
TYPE I HOOD
-
X
$50
=
24
TYPE II HOOD
-
X
$10
-
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12
-
26
AIR CONDITIONER
3-15 TON
X
$20
-
27
AIR CONDMONER
15-30 TON
X
$25
-
28
AIR CONDITIONER
30-50 TON
X
$35
-
29
AIR CONDITIONER
+50 TON
X
860
-
30
LPG STORAGE TANK
-
X
810
-
31
WOOD OR PELLET STOVE/INSERT
-
X
$10
=
g
WOOD STOVE - FREE STANDING
-
1
X
825
-
KENT
VISA•fisc .:
SUBTOTAL:
PLUS PROCESSING FEE:
$35.00
TOTAL PERMIT FEE DUE:
EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE: