2006, 02-28 Permit App: 06000621 Insert, PipingSpo=kane
�yValley
Community Development
Mechanical Permit
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)668-0036 FAX: (509)68S-0037
ww•u. rookanevallev ore.com,
Application ❑ Commercial xj Residential
PERMIT NUMBER:( JG�t�74
PERMIT FEE: ' l
SITE ADDRESS:
/37/•9 6 Azfc_ .y
tc4 -- c/3, hiy/
'79 a/4
Building owner
-
Name: , ,y,y, y r.3
('3 7%/ Le. ,JI at)
Phone: Sb5- b 13-5 _17 y
Fax:
Address: / 1(7O20--
F
A/tr•/
City. S?r,l(a., it
State:
cif 4
Zip: 9/`.)J(
Contractor
_
Name:
Phone:
Fax:
Address:
City
State:
Zip:
License No:
City Business License No:
^' nt -, . .
Name:
Phone:
DESCRIPTION OF WORK
R OF UNITS X
COST
= TOTAL AMOUNT
1
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
550.00
4
UNLISTED APPLIANCE (Additional Fee)
More than 400.000
X
3100.00
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
B
BOILER/REFRIGERATION
101 -500M BTU
X
520.00
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
525 00
10
BOILER/REFRIGERATION
1.001 - 1,750M BTU
X
535.00
11
BOILER/REFRIGERATION
More than 1.750M BTU
X
560.00
12
GAS LOG, GAS INSERT. GAS FIREPLACE
X
$10.00
13
RANGE
X
510.00
14
DRYER
X
$1000
15
FUEL BURNING WATER HEATER
X
31000
16
MISC. FUEL BURNING APPLIANCE -
X
510.00
17
(;45 PIPING (each oullet)
a
X
51.00
18
DUCT SYSTEMS
X
310.00
19
VENTILATING FANS
X
310.00
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
X
31200
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10,000 CFM
X
515.00
22
EVAPORATIVE COOLERS
X
$10.00
23
TYPE I HOOD
X
350.00
24
TYPE II HOOD
X
310.00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
312.00
26
AIR CONDITIONER
3-15 TON
X
320.00
27
AIR CONDITIONER
15-30 TON
X
525.00
28
AIR CONDITIONER
30-50 TON
X
135.00
29
AIR CONDITIONER
More than 50 TON
X
560.00
30
LPG STORAGE TANK
X
310.00
31
W006 OR PELLET STOVE/INSERT
X
$10.00
32
WOOD STOVE - FREE STANDING
X
325.00
33
REPAIR & ADDITIONS
X
515.00
34
VENTILATION SYSTEMS
X
$12.00
35
VENTILATION MECHANICAL EXHAUST
X
312.00
36
INCINERATOR - RESIDENCE
X
319.00
37
INCINERATOR - COMMERCIAL
X
322.00
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
AUTHORIZED SIGNATURE:
DATE:
EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
'7
REVISED 82905