2005, 12-28 Permit App: 05004778 Mechanicla FixturesStiokane
Valley
Community Development
Permit Center
11707 E Sprague Av
Spokane Valley, WA 6
(509)688-0036 FAX 50 688-0037
www.sookanevallev.ol a.com
ACEDdE In
Mechanical Permit
Application//
SITE ADDRESS: =,1�/ f ,/V /Ohl
n Commercial
ULaitl�J�ni
PERMIT NUJMBER°S -'9Ak �
PERMIT FEE:.=.1/90C.2
! 9 UCS v
Residential
Building ownAr
yi II
Name: J .I
Phone: 6Li,3 - `1 7 0I Fax:
Address: 2201/
City: 1,./��,..� ,,Ii.,, State:
/
hili,
Zip: 4h63
Contractor ;) 4,
A
Name: Air 6 (`i'i / v/eJ„ ; c,, I
Phone:
IS Fax:
y 7 -D).SUAddress:
P1-i,.celo✓t
City:
:p."51 State:
Zip: �lll ZI
License No: Al K CO cM'U� % j/-%
City Business License No:
Contact
Name: t vl h i. 1/4 v, (Al r.-,er
Phone:
2? , J - 23
x��_ (si
DESCRIPTION OF WORK
# OF UNITS
X
COST
TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
1
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
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
$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
2
18
DUCT SYSTEMS
X
$10.00
19
VENTILATING FANS
X
$10.00
20
AIR HANDLER (DOES NOT include ductin
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 HOOD
X
$50.00
24
TYPE II HOOD
X
$10.00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12.00
26
AIR CONDITIONER
3-15 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 & 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 ❑ VISA 0 MC
CARD #:
AUTHORIZED SIGNATURE:
DATE:
EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
REVISED 8/26/05