2007, 10-17 Permit App: 07004166 Mechanical FixturesSpokane
Valley
Community Development
Mechanical Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.apoka n evalle v.orc
❑ Commercial
PERMIT NUMBER:- //
PERMIT FEE:
Residential
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SITEADDRESS:/I/(J 1 • Fe //-5
Building Owner
Name: "\--)n $D• III-�
Phone: yq� /�J3U Fax:
Address:
State: /�.4.
City: -Spin/trio
Zip:
A,c,
Contractor
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Name:
/ate)HenF,nS 7
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Phone: y35 //7/) Fax.
Address el.i L Z4,/-
City: 5 Ni, iZANC State: wA-
Zip: C%`7ea3
License No: /7 f /ALo 1 rT // 1'�7! 330 0
City Business Lic: 4.07 ii- Z/ /3"�
Contac[ -
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Name: b rrt r_ 3 ` /ArM"W'-. A L
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Phone: 13 �- [� %i/
DESCRIPTION OF WORK
# OF UNITS
X
COST
TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
2
FUEL BURNING APPLIANCE
More than 100,000
1
X
$12 00
X
$15 00
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
X
550.00
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
550.00
6
USED APPLIANCE (WSEC min AFUE rating)
More than 400,000
X
5100.00
7
BOILER/REFRIGERATION
1 - 100M BTU
X
51200
8
BOILER/REFRIGERATION
101 -500M BTU
X
520.00
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
525.00
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
Jo Al
14
DRYER
X
$10.00
15
FUEL BURNING WATER HEATER
X
$10.00
16
MISC. FUEL BURNING APPLIANCE
X
51000
17
GAS PIPING (each outlet)
Z
X
$1 00
z
18
DUCT SYSTEMS
X
$10.00
/U
19
VENTILATING FANS
3
X
$10.00
3(-)
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
X
$1200
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10,000 CFM
X
$15.00
22
EVAPORATIVE COOLERS
X
$10 00
23
TYPE I HOOD
X
550.00
24
TYPE II HOOD
X
$10.00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
512.00
/Z-
26
AIR CONDITIONER
4-15 TON
X
520.00
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
560.00
30
LPG STORAGE TANK
X
510 00
31
WOOD OR PELLET STOVE/INSERT
X
$1000
32
WOOD STOVE - FREE STANDING
X
525.00
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
522.00
METHOD OF PAYMENT:
DCASH D CHECK D VISA
CARD #
AUTHORIZED SIGNATURE:
REVISED 8/26105
MC
EXPIRES:
VI�
SUBTOTAL
PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE: