2009, 02-17 Permit App: 09000361 Mechanical FixturesSikikane
Community Development
Mechanical Permit Application ❑ Commercial
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX (509)688-0037
permitcenteresnokanevallev.org
PERMIT NUMBER: L3!. i
PERMIT FEE:
Residential
SITE ADDRESS: I lr^, ? (-1 c Hero t-1
Building Owner - - - - --
-
Name: CGt 0C (G //it „ are < Phone' Fax
City:/
Address: // CI iD/�Z` �State(�L�
4
�9 Il'7-tee!, " /44'.
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Zip 97.246
i 246
Contractor
may/ / Phone: Fax:
Name'7E-1()_
C ') // C.eCV�ti/1 r Cb�
Address: Cit State. Li�,ic
/Lao 191 /(J . ��:ca. (In , t :- C ., y II CPQ '
Zip:
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License No: L. ro j e .7 11Z 2`„ 1E— f,7�z 3t, 7- Clt Business Lie: L �' O 2 tf/
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Contact -
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Name: aD7 g7tte: 7Cr-a Phone: epi? 0.S((
DESCRIPTION OF WORK
# OF UNITS
COST
= TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
512.00
2 00
2
FUEL BURNING APPLIANCE
More than 100,000
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
(
X
$15 00
1ST
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
i-3-�
8
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
$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)
a
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 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
t , 00
26
AIR CONDITIONER
4-15 TON
X
520.00
27
AIR CONDITIONER
15-30 TON
x
825.00
28
AIR CONDITIONER
30-50 TON
X
535.00
29
AIR CONDITIONER
More than 50 TON
X
560.00
30
LPG STORAGE TANK
X
510 00
31
WOOD OR PELLET STOVE/INSERT
X
510 00
32
WOOD STOVE - FREE STANDING
X
525 00
33
REPAIR & ADDITIONS
x
$15.00
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:
❑CASH
CARD #:
AUTHORIZED SIGNATURE:
REVISED 826'05
❑ CHECK ❑ VISA ❑ MC
EXPIRES
VIN
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE: