2006, 10-02 Permit app: 06003933 Mechanical FixturespoN.ane 1e - 1 � /v / re Ave, suite i vo
Spokane Valley,
WA 99206
(509)68g-0036 FAX: (509)683-0037
Community Development Wativ.snokanevOle v.or
s
Mechanical Permit Application
Fi Commercial
PERMIT NUMBER: j 7 5
PERMIT FEE: 4R `
Residential
SITE ADDRESS:
t(E` 4. L
Building (Willer
Name: <' ----f--- Phone: c Fax:
Address: .311._ IV . L•t 1 City. p1L'tiv, State:W p Zip: `I gat a.
Contractor _
Name: Phone: Fax:
Pr-e•.c ; S i n n ti eat% n c( -r A ', cs 3 1(
Address: U _ soX 979 3 City: Poste F ct \1S State: 0 Zip: F37-77
License No: ? RE._ Gi 0 h oI c i NsCity Business Lit: u 01 1 9 H. 757
Contact -- _ :.:.:..:
Name:
rt a(\ i I✓4& t'\�‘"
DESCRIPTION OF WORK
Phone: FC
- 1-1 3 --
0 OF UNITS
-j 0 t
X
COST
=
TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or Tess than 100,000
i
X
$12.0D
-
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 400,00D
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
=
5
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.OD
=
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
$10.0D
=
17
GAS PIPING (each outlet)
1
X
$1.00
=
1B
DUCT SYSTEMS
X
$10.00
=
19
VENTILATING FANS
X
$10.00
=
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,00D CFM
X
$12.00
=
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10,000 CFM
X
$15.00
=
22
EVAPORATIVE COOLERS
X
$10.OD
=
23
TYPE I HOOD
X
550.00
=
24
TYPE II HOOD
X
510.00
=
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
512.00
=
26
AIR CONDITIONER
3-15 TON
X
$20.00
=
27
AIR CONDITIONER
15-30 TON
X
525.00
=
26
AIR CONDITIONER
30-50 TON •
X
$35.00
=
29
AIR CONDITIONER
More than 50 TON
X
$60.00
=
30
IPG STORAGE TANK
X
$10.00
=
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
512.00
=
36
INCINERATOR - RESIDENCE
X
519.00
=
37
INCINERATOR - COMMERCIAL
X
522.00
=
METHOD OF PAYMENT:
❑CASH 0 CHECK 0 VISA ID NIC
CARD #:
SUBTOTAL
EXPIRES:
PROCESSING FEE
$35.00
VIN'
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED @26/05