2005, 09-14 Permit App: 05003397 Wood StovesPermit Center
Spokane 11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www.sookanevalley.ora corn p 7-5
Mechanical Permit Application o Commercial
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Name: KE Ily uOct_ci vtiAr Phone: —5 (0 7 - 5 2_2_ 23". Fax
Address: 1 q A3 fy . i_sca..s-l-- City M yn Kant State IA,/ A Zip
9' W,
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SITE ADDRESS
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Name: KE Ily uOct_ci vtiAr Phone: —5 (0 7 - 5 2_2_ 23". Fax
Address: 1 q A3 fy . i_sca..s-l-- City M yn Kant State IA,/ A Zip
9' W,
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Name. Phone: Fax:
Address: City State Zip
License No: City Business License No:
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Name Phone:
Phone:
DESCRIPTION OF WORK
# OF UNITS
COST
= TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
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
110.00
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
11200
26
AIR CONDITIONER
3-15 TON
X
$20.00
27
AIRCONDITIONER
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
33
REPAIR & ADDITIONS
a
X
$25.00
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:
OCASH 0 CHECK 0 VISA 0 MC
CARD #:
AUTHORIZED SIGNATURE:
DATE
EXPIRES
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
' REVISED 8/n/05