HomeMy WebLinkAbout2005, 04-05 Permit App: 05001077 Mechanical Fixtures MECHANICAL PERMIT APPLICATION Community Development Departmen
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Siiiell: % Building Divisiol
Phone: (509) 688-0036; FAX: (509) 688-0037 11707 E. Sprague Avenue, Suite 10E
For Inspections, Call (509) 688-0054 Spokane Valley, WA 9920f
Project Address: IC;V/ 9 (_ }L V)r✓ Permit Use:
Owner: O1Li',/ )c_l-IL�ct(; Phone (Daytime Confect): '�'')a- r) -IV,
Mailing Address: /r:-/,•? (l ,nr0 g/f Jc 1/91c( r i aot
City State Zip Code
Contractor: (..t,, (; License#: Phone#: ?q a. T):'0.-1
Mailing Address: v`/f') L ,r), I,.,/ )n,i,',,,./( \-i t_i_L- f_✓-] 19),Lt
r City State Zip Code
DESCRIPTION OF WORK #OF UNfTS X COST = TOTAL AMOUNT
1 FUEL BURNING APPLIANCE Equal to or less than 100,000 X $t2.00 =
• 2 FUEL BURNING APPLIANCE More than 100,000 1 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(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 $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 =
15 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 $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" 3-15 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 X510.00 =
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 1 X $19.00 =
37 INCINERATOR-COMMERCIAL X $22.00 =
METHOD OF PAYMENT: SUBTOTAL
0 CASH ' CHECK ❑VISA ❑MC DATE:
�}t PROCESSING FEE $35.00
CARD#: EXPIRES: TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE: