2008, 07-23 Permit App: 08002858 Mechanical FixturesCommunity Development
Mechanical Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
ww.spokanevallev.ore
PERMIT NUMBER:
PERMIT FEE:
❑ Commercial al.Residential
SITE ADDRESS: L Z-1 c6 3
-
q, -7-74/Z.14( Drs. 3(17a ke: 4 u// G-�� 7 z f C,
Building Owner
Name: So s N q j a r c, L j-' u r r e`
Phone: 501 3 i (o % ( Fax:
Address: z•74)-, e •• c.r7'gi (le- D c ✓
City: n (/u (� State: �A
Zip:
3 z„/
Contractor
Name: G XTIZC' rt: / e4 -y -/.v4 1 r
Phone: SOS- y>64/6 G 6 S Fax: ;off-
c )_ 2337
Address: (..c.$o �,-ie. rte -e-1- ST-
City: K,ti„e..State: g.,....),4
Zip:
99 z i 7
License No: c_ xf' Z A r (. 3 P,2�
City Business Lic: ` �4;L�f,C i c. c� s
Contact
Name: Se (..... x Flue- 1,
Phone: -? v tT _ -7 0 ,/ _, Z ,)"5
DESCRIPTION OF WORK
# OF UNITS
COST
= TOTAL AMOUNT
FUEL BURNING APPLIANCE
Equal to or less than 100,000
x
$12.00
S !Z
2
FUEL BURNING APPLIANCE
More than 100,000
X
$15.00
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or Tess 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 Tess 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
$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)
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 Tess 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
s
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
515.00
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:
DCASH D CHECK D VISA DMC
CARD #:
AUTHORIZED SIGNATURE:
G w,;w 1fl_�R_fl7
EXPIRES:
V1N:
SUBTOTAL
PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE:
'•
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