2007, 11-13 Permit App: 07004529 Heat Pump, ACCommunity 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 spokanevallev or.
PERMIT NUMBER: y
PERMIT FEE:
Y17_
❑ Commercial Ni Residential
SITE ADDRESS: // ec774 Rnee- ,4[/t ) Sinek/kne Lh t(e,e, it) 7 9cW?C,
Building C./Avner-
Name. rb" L Phone:
r1 `'t/-lr(1/Y{� ��//2��I�1C�` ���
Fax:
<�f'�c-
7�/��
Address: // Sic71y— C G 4 e. Aar._ : City. Spok _n 9 ae/,
r
State. wig_ Zip: 9%2O6
/T
Contractor , - - /
Name: r Phone.
�/���-�F C�s�r�ez_� Se�v, � �,s/ �(v/��, - 39,7
Fax:
Fax:
ay9� I�
��
Address 9a/ Q �'/4f ,,m€/ cci./Ye/c4S'-Elly. %0frarrf Y f/ ,/State:
�9q/—
WA Zip: L�7o7C J�
License No:Nan- er� ?7� l-. City Business Lic:
/04
-7�
Contact )�o._ r7. s r/,--- J11i/t/ /0/h/?, -
b
- -
Name r/ / Phone.
DESCRIPTION OF WORK
# OF UNITS
X
COST
= TOTAL AMOUNT
FUEL BURNING APPLIANCE
Equal to or less than 100,000
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
UNLISTEDAPPLIANCE (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 ratinq)
More than 400,000
X
$100.00
7
BOILER/REFRIGERATION
1 - 100M BTU
X
512 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
560 00
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
510 00
13
RANGE
X
510.00
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
510 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
$15 00
22
EVAPORATIVE COOLERS
X
510 00
23
TYPE I HOOD
X
$50.00
24
TYPE II HOOD
X
510.00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
512 00
26
AIR CONDITIONER
4-15 TON
X
520.00
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
$1000
31
WOOD OR PELLET STOVE/INSERT
X
510 00
32
WOOD STOVE - FREE STANDING
X
525.00
33
REPAIR 8 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:
❑CASH `"/ /CHECK 0 VISA 0 MC
CARD #'
*-
AUTHORIZED SIGNATURE:
REVISED 826/oS
EXPIRES:
VIN.
SUBTOTAL
PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE:
14%do