2008, 12-15 Permit App: 08004788 Mechanical FixturesPermit Center J�
C��«'40a p ��► 11703 E Sprague Ave, Suite B-3 PERMIT NUMBER:
SO�
Spokane Valley, WA 99206
Valley• (509)688-0036 FAX: (509)688-0037 PERMIT FEE: C
Community Development permitcenter!cspokanevalley. orQ
Mechanical Permit Application ❑ Commercial [ esidential
SITE
Building Owner
DESCRIPTION OF WORK
Name: Uf 1 -Phone:
COST
Fax:
Address: 3
City: Val `State:
Zip:
Contractor
$12.00
Name:t~ t V I -
�/ Phone: 1
Fax:
Address:oQ
C�
City: p'
State: �� Zip:
License No: w
City Busiifess Lic:
Equal to or less than 400,000
Contact
$50.00
=
Name: n
Phone:
More than 400,000
DESCRIPTION OF WORK
# OF UNITS X
COST
= TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
3 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 SEC min. AFUE rating)
Equal to or less than 400,000
X
$50.00
-
6
USED APPLIANCE SEC 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
$10.00
-
14
DRYER
X
$10.00
-
15
FUEL BURNING WATER HEATER
X
$10.00
=
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
-
17
GAS PIPING each outlet
3 X
$1.00
= 3
18
DUCT SYSTEMS
X
$10.00
= �r-
19
VENTILATING FANS
X
$10.00
=
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
$15.00
=
22
EVAPORATIVE COOLERS
X
$10.00
=
23
TYPE I HOOD
X
$50.00
=
24
TYPE II HOOD
X
$10.00
=
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12.00
=
26
AIR CONDITIONER
4-15 TON
X
$20.00
=
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
$60.00
=
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 VMC
CARD #:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
TOTAL PERMIT FEE DUE:
$35.00
-