2005, 10-11 Permit App: 05003745 Heat PumpPermit Center
S "kaIIe 11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206 PERMIT NUMBER: 3��`j
Co j�all(509)688-0036 FAX: (509)688-0037 PERMIT FEE:
Community Development w A-w.spokanevalle +�ora.com
Mechanical Permit Application ❑ Commercial j Residential
SITE ADDRESS:
Building owner
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# OF UNITS X
COST
Name: - /` .
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Phone:
Fax:
Address: (y AJ
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City:
5/'14- State: Zip:
Contractor , 6
More than 100,000
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Name:
3
UNLISTED APPLIANCE Additional Fee
Phone:
3 L ` 7 Fax: -r� - - `,S667
Address:
=
city:
_ck.v State: /L-- Zip: i37L/
License No: C t
A1,4
s
$100.00
-
City Business License No:
Contact - (
/i
Equal to or less than 400,000
X
$50.00
Name:
6
Phone:
DESCRIPTION OF WORK
# OF UNITS X
COST
- TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
$12.00
= Cly
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 SEC min. AFUE rating)
Equal to or less than 400,000
X
$50.00
=
6
USED APPLIANCE SEC 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
=
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
=
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 NHECK ❑ VISA ❑ MC
CARD #:
AUTHORIZED SIGNATURE:
DATE:
EXPIRES:
-
SUBTOTAL
PROCESSING FEE
TOTAL PERMIT FEE DUE:
$35.00
REVISED 8/26105