2004, 04-12 Permit App: BLD-04-04044 Mechanical FixturesSiblane
Dalley
MECHANICAL PERMIT A
City of Spokane Valley Community Developmen
Bu
11707 E. Sprague Aven
Spokane Valley
Phone: (509) 688-0036; Fax: (5
FOR INSPECTIONS, CALL (5
Project Address: // 7 ? / 9/c�/37C'C
Owner: Jo)S € 7OH /J arc-/
Mailing Address:
Contractor:
Mailing Address: // 7 2- / i= G2/46
Permit Use:
Phone (Daytime Contact): 9 2 -0/ 7
PLICATION
Department
dingDivision
e, Suite 106
WA 99206
9) 688-0037
9) 688-0054
City
License #:
Sian /VIiut'
City
State
Phone #:
/4
State
Zip Code
99l.a(a
Zip Code
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
# OF
UNITS
X
COST
=
TOTAL
AMOUNT
'u
'
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
!
X
$15.00
=
2
FUEL BURNING APPLIANCE
More than 100,000
X
$19.00
=
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
$15 00
=
8
BOILER/REFRIGERATION
101 - 500M BTU
X
$28.00
=
9
BOILER/REFRIGERATION
501 - 1.000M BTU
X
$39 00
=
10
BOILER/REFRIGERATION
1,001 - 1,750M BTU
X
$57.00
=
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
$95.00
=
12
GAS LOG. GAS INSERT, GAS FIREPLACE
X
$10 00
13
RANGE
X
$10.00
=
14
DRYER
X
$1000
=
15
FUEL BURNING WATER HEATER
1
X
$10 00
=
16
MISC FUEL BURNING APPLIANCE
X
$10.00
=
17
GAS PIPING (each outlet)
.Z
X
$1.00
=
18
DUCT SYSTEMS
X
$10.00
=
19
VENTILATING FANS
X
$10.00
=
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
X
$1200
r-
21
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10.000 CFM
-
X
$1900
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
3-15 TON
X
$20.00
=
27
AIR CONDITIONER
15-30 TON
X
$25.00
=
28
AIR CONDITIONER
30-50 TON
X
$3500
=
29
AIR CONDITIONER
More than 50 TON
X
$60.00
=
30
LPG STORAGE TANK
X
$10.00
=
31
WOOD OR PELLET STOVE/INSERT
X
$1000
=
32
WOOD STOVE - FREE STANDING
X
$25.00
=
METHOD OF PAYMENT:
❑ CASH ElCHECK ❑ VISA ElMC
CARD #
DATE:
SUBTOTAL
PROCESSING FEE
$35.n5.00/�'x\\
EXPIRES'
TOTAL PERMIT FEE DUE:
' 0r>< cE/u/
AUTHORIZED SIGNATURE: