2007, 10-05 Permit App: 07003983 Mechanical FixturesPermit Center
Sfitil__nv a 11703 E Sprague Ave, Suite B-3
Il ri[I` �' Spokane Valley, WA 99206
.0001;V"Qlley (509)688-0036 FAX: (509)688-0037
Community Development `0"•``•snokancvallev.ore
Mechanical Permit Application
❑ Commercial
PERMIT NUMBER: 3'?5 3
PERMIT FEE: (4
Residential
SITE ADDRESS: o+) 5 iJ LGLL.S I -
Building Owner
Name: plc ay.)k''o i00 C'F1-,
Phone: rsiil-b(n3-gc)-ZO
Fax
Address: ay, Ki Lc•(s..SL
City: Sp() kc„t
State: La A.
Zip: C1r12CC
Contractor
Name:
Phone:
Fax:
Address:
City:
State
Zip:
License No:
City Business Lic:
Contact,
Name:
Phone: •
DESCRIPTION OF WORK
# OF UNITS X
COST
= TOTAL AMOUNT
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
$12 00
12 i v.r
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 400,000
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
510.00
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
a.to
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
$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
12.0J
26
AIR CONDITIONER
4-15 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
X
$10 00
31
WOOD OR PELLET STOVE/INSERT
X
$10 00
32
WOOD STOVE - FREE STANDING
X
$25 00
33
REPAIR 8 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 0 CHECK 0 VISA 0 MC
CARD#.
AUTHORIZED SIGNATURE:
REVISED 3/26105
EXPIRES:
VIN
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE: