2005, 12-02 Permit App: 05004540 Wood Stove® Permit Center
Spokane ® 11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www.spokanevallcv or2.com
Mechanical Permit Application n Commercial 0 Residential
�Ualley
PERMIT NUNBER: S40
PERMIT FEE: ( -
SITE ADDRESS: i l 2 3 IV, 114P 1/4 T -r
Building owner
Name: 1: 1,;.1'n
t♦
,t
.4 . yr 1✓rl
Phone: roq - qjq_ 71 jFax:
Address: I11.3
IV,
/14 finekr--
City: S 9; K I+ t. Va al State: 1,44
Zip: (192-(4
Contractor '
- /
Name:
Phone: Fax:
Address:
City: State:
Zip:
License No:
City Business License No:
Name:
Phone:
DESCRIPTION OF WORK
N OF UNITS X
COST
= TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
$1200
2
FUEL BURNING APPLIANCE
More than 100,000
X
515 00
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400.000
X
550.00
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
550 00
6
USED APPLIANCE (WSEC min AFUE rating)
More than 400,000
X
$100.00
7
BOILER/REFRIGERATION
1 - 100M BTU
X
512 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
560.00
12
GCC LOG. GAS INSERT. GAS FIREPLACE
X
$10.00
13
RANGE
X
$1000
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
S1.00
18
DUCT SYSTEMS
X
510 00
19
VENTILATING FANS
X
510 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
510 00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12 00
26
AIR CONDITIONER
3-15 TON
X
520.00
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
560 00
30
LPG STORAGE TANK
X
$10 00
31
WOOD OR PELLET STOVE/INSERT
X
$10.00
32
WOOD STOVE - FREE STANDING
525.00
33
REPAIR 8 ADDITIONS
X
515.00
34
VENTILATION SYSTEMS
X
$12.00
35
VENTILATION MECHANICAL EXHAUST
X
$12.00
36
INCINERATOR — RESIDENCE
X
519.00
37
INCINERATOR — COMMERCIAL
X
522.00
METHOD OF PAYMENT:
OCASH C CHECK D VISA O MC
CARO ik
AUTHORIZED SIGNATURE:
DATE:
EXPIRES:
SUBTOTAL
PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE:
REVISED 6/26/05