2007, 05-29 Permit App: 07001970 Mechanical Fixtures05/16/2007 15:30 FAA bUy53 010
Spbkanie 1po�`
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
w«-w.sookanevallcY otR
❑ Commercial
PERMIT NUMBER: 1 l i
PERMIT FEE:
,j Residential
SITE ADDRESS:
/0 /9 . / 1-/(2r��
But1dlAg Owner
Name. - 0 .7 MO 177-1 fil Phone. j / 7 Fax:
Address./'71 A) , 0 CI,(L.,C,YcJ City � � e'. tate: j� } /` ZIP GVL
t1 •
..00.1400.0 or
Name: ` •�-- r J Phone:'- '- _ (. �c Fax: ' l
_
Address ( / .e A., „f ) „` 1' Cit 7 ) State `)(:- Zip r 2 ,►
t'l Ui
I!55Y
License / 7 r 1 es c
:OYn14St . cif
Name: YrC%ir)t. i % 7,21 )2,}- Phone: .)---(-1F'
DESCRIPTION OF WORK
# OF UNITS
X
COST
a
TOTALAMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
I
X
$12,00
=
l',/ _.-'"
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
5100.00
5
USED APPLIANCE (WSEC min. AFUE rating)
Equal to or less than 400 000
X
050.00
6
USED APPLIANCE (WSEC min, AFUE roily)
More than 400,000
X
5100.00
7
BOILER/REFRIGERATION
1 -100M BTU
X
$12,00
8
BOILER/REFRIGERATION
101 -500M BTU
X
520.00
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$25.00
=
10
BOILER/REFRIGERATION
1,001 - 1,750M BTU
X
035.00
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
060.00
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
510.00
13
RANGE
X
010,00
14
DRYER
X
$10.00
15
FUEL BURNING WATER HEATER
X
010.00
16
MISC, FUEL BURNING APPLIANCE
X
010,00
=
17 1 GAS PIPING (each outlet)
X
$1.00
18
' DUCT SYSTEMS
X
010.00
19
VENTILATING FANS
X
510.00
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
X
512.00
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10,000 CFM
X
515,00
22
EVAPORATIVE COOLERS
X
510.00
=
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
=
/Q /'•"--
26
AIR CONDITIONER
4.15 TON
X
020.00
=
27
AIR CONDITIONER
15.30 TON
X
025.00
28
AIR CONDITIONER
30-50 TON
X
$35.00
29
AIR CONDITIONER
Moro than 50 TON
X
560.00
=
30
LPG STORAGE TANK
X
510.00
=
31
WOOD CR PELLET STOVE/INSERT
X
510.00
=
32
WOOD STOVE - FREE STANDING
X
025.00
33
REPAIR & ADDITIONS
X
516.00
34
VENTILATION SYSTEMS
X
$12.02
35
VENTILATION MECHANICAL EXHAUST
X
512.00
36
INCINERATOR -RESIDENCE
X
519.00
=
37
INCINERATOR -COMMERCIAL
X
522.00
METHOD OF PAYMENT:
SUBTOTAL
/
LY C
❑CASH C]CHECK ❑ VISA Q MC EXPIRES:
PROCESSING FEE
535.00
CARD #: VIN:
TOTAL PERMIT FEE DUE:
�G%
AUTHORIZED SIGNATURE: L. Li�•// '> e( -CL' 7 4-i(
REVISED 8/26/05 ,
/16
MAY 16 2007 15:30
5093252615 PRGE.01