2006, 10-02 Permit App: 06003935 Mechanical Fixtures Spokane - 11707E Sprague Ave,Suite 106
Vey Spokane Valley,WA 99206 n O Z , 8 2 PERMIT NUMBER: _i")3 J
csoosi (509)688-0036 FAX:(509)688-0037 PERMIT FEE: zti / ..--T-
community
Community Development umtiv.spokanevallev.oro
Mechanical Permit Application • 1 I' Commercial [ sli ential
SITE ADDRESS: E.-. 1 2 "I C-- 1.,A_,---,,s OOA- 3 6' 4. .
Building Owner (A-kAcr(_ -1-14-t,l�l.
Name: C�drwCsif__ --\-JUk �A..__., Phone: 94.2_ 0 j-/ & Fax: "t2`6(0
Address: t , (2.k.--1 c (,xy,/tsYL/a iS2, City. `[i) _u l State: ,WWI9 Zip: 9 C,Zl,,il
Contractor.. .
Name: � A, 'W'N/ k.5 (L.r47'r``D Phone: ,7_7-7*- ‘,K) eo Fax. 7447 7<5 0 s•--
Address: /y. rd c-t ,, 4,0
/ F7.,i4 City c,i0.0 jL C- State: ._ zip4q� D„-�
License No: 87CityBusiness LicfriL01 W
Contact
Name: Phone: 3 99.- 3e_F z_
DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT
1 FUEL BURNING APPLIANCE Equal to or less than 100,000 L t, 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 $50.00 =
I
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 $1200 =
B BOILER/REFRIGERATION 101-50DM BTU X $20.00 =
9 BOILER/REFRIGERATION 501-1,000M BTU X $25.00 =
10 BOILER/REFRIGERATION 1,001-1,75DM BTU X $35.00 =
11 BOILER/REFRIGERATION More than 1,750M ETU 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 $10.00 =
17 GAS PIPING(each outlet) X $1.00 =
16 DUCT SYSTEMS t i 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 $12.00 __ _
26 AIR CONDITIONER 3-15 TON X $20.00 =
27 AIR CONDITIONER 15-30 TON X $25.00 =
25 AIR CONDITIONER 30-50 TON X $35.00 =
29 AIR CONDITIONER More than 5D TON X _ $60.00 =
3D LPG STORAGE TANK X $10.00 =
31 WOOD OR PELLET STOVE INSERT X $10.00 =
32 WOOD STOVE FREE STANDING X $25.00 _
11
33 REPAIR&ADDITIONS X _
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: SUBTOTAL
❑CASH IDCHECK ❑VISA ID mc EXPIRES: PROCESSING FEE $35.00
CARD#: VIN: TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 6/26/O$