2006, 05-08 Permit App: 06001721 Mechanical Fixtures Permit Center
Spokane 11707 E Sprague Ave,Suite 106
I/f `ja.!ley Spokane Valley,WA 99206 PERMIT NUMBER: ' -1'2
(509)688-0036 FAX:(509)688-0037 PERMIT FEE: �`- -
Community Development w-ww.spokanevalley.oriz.com
Mechanical Permit Application ❑ Commercial IN, Residential
SITE ADDRESS: 3/ 7 1 e 7-4- -5
Building owner j`" v /)/ RI Z i' (2
Name: Phone: %i b4' - 70.7g Fax:
Address: 5)7 j P_ r ,S s City: S Fgh9Ae L//9J, ate: 1///4 Zip: Y 7J/�
Contractor
Name: Norco Heating & A/C Phone: (509 ) 534-4975 Fax: ( 509 ) 534-1572
Address: 5103 E. Trent City: Spokane State:Wa 4,9921'2
License No:Norcohal7Orz 9/28/07 City Business License NoOO506799
Contact
Name: Len Pectersen (509 ) 534-4975
Phone:
DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT
1 FUEL BURNING APPLIANCE Equal to or less than 100,000 / X $12.00 = /a 0
0
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
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 ducts^q) 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: SUBTOTAL / 7. d
❑CASH 0 CHECK 0 VISA 0 MC DATE: PROCESSING FEE
$35.00
CARD#: EXPIRES: TOTAL PERMIT FEE DUE: - 7. WO
AUTHORIZED SIGNATURE: REVISED 8i26/05