2004, 10-29 Permit App: BLD-04-08068 Gas InsertsSTiolane
MECHANICAL PERMIT APPLICATION
City of Spokane Valley Corn`munity Development Department
BuildingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509)688-0036; Fax: (509) 688-0037
FOR INSPECTIONS,. CALL (509) 688-0054
Project Address /3 7/ 2 //try/ Permit Use:
• Owner.. d �/ La 1 Phone (Daytime Contact): (.S 3J to(' -J2zC
Mailing Address: /3 7-2 sr L< /2( Ste. o k cs/� Sim /149 City
•
License #:
Contractor:
Mai irig Address:
State . Zip Code
Phone #:
AUTHORIZED SIGNATURE:•
REVIEWED FOR ODE COMPLIANCE
ri VALLEYBUI '!N D^19SInN
ip Code
DESCRIPTION OFWORK
•••v
EOF
UNITS
X
-
COST
a
amts
TOTAL
2
1
FUEL BURNING APPLIANCE
-
Equal to or less than 100 000 ..
X
$15.00
=
AMOUNT
-1-2—F
U@tEtURNING-APPtmkc t:
Maretnan 10U,000
X
518.00
=
_
3
UNLISTEDAPPLIANCE (Addirfonal Fee)
. Equal to or less than 400,000 -
X
550.00
=
4
UNLISTED APPLIANCE (Additional Fee)
- More than 400000
X
5100.00
5
USED APPLIANCE (WSEC min. AFUE .
rating)
Equal to or fess than 400.000
X
550.00
=
6
USED APPLIANCE (WSEC min AFUE
rating)
More than 400,000
X
5100.00
=
7
BOILER/REFRIGERATION
- 1 - t00M BTU •
X
515.00
=
8
BOILER/REFRIGERATION
101 - 500M BTU
X
$28.00
=
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
539.00
=
/
10
BOILERIREFRIGERATION
1,001 -1,750M BTU
X
$57.00
=
11
BOILERIREFRIGERATION
More than 1,750M BTU
X
59500
=
12
GAS LOG, GAS INSERT, GAS FIREPLACE
3
X
540.00
a
36_
13
RANGE
X
310.00
=
f%)(
14
DRYER
'
X
St0.00
=
15
FUEL BURNING WATER HEATER
X
5t0.00
16
MISC. FUEL BURNING APPLIANCE
X
$10.O0.
=
17
GAS PIPING (each outlet)
X
51.00
18 DUCT SYSTEMS
X
$10.00
=
=
19 VENTILATING FANS
X
310.00
=
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 GEM
X
319.00
=
22 EVAPORATIVE COOLERS
X
310.00
-
23 TYPE IHOOD
-
X
350.00
24 TYPE It HOOD
-
X
310.00
=
=
25 HEATPUMPIABL CONDITIONER
Oa from
X
312.00
28 AIRCONDfONER
3-15 TON
X
=
27AIR-CONDITIONER
sza.ao-
_
15-30 ION -
X
$25.00
28 AIR CONDITIONER
30-50 TON
X
535.00
=
29 'AIR CONDITIONER
More than 50 TON
X
360.00
=
30 LPG STORAGE TANK -
-
=
31 WOOD OR PELLET STOVE/INSERT
X
310.00
=
32 WOOD STOVE -FREE STANDING
X
525 00
=
METHOD OF PAYMENT:
❑ CASH 0 CHECK 0 VISA 0 MC
DATE:
SUBTOTAL
30 . CC)
PROCE�
$35.00
CARD#: •EXPIRES:
TOTALPERtiiiwi {aa]icy
1 S' r0
AUTHORIZED SIGNATURE:•
REVIEWED FOR ODE COMPLIANCE
ri VALLEYBUI '!N D^19SInN
ip Code