2005, 07-08 Permit App: 05002297 Mechanical Fixtures01 130 0(42421
Valley
Project Address: ¶ / 5 4" 9'7c2 WC r
Owner: 7 nu l,( tin 1a, Inc
Mailing Address: 54ivK.E----
Contractor: A lldenev3/4 SAS el1ai
Mailing Address: F (39b -IN TiaN
5-a2'17
MECHANICAL P'Et2MIT APPLICATION
City of Spokane Valley Community Development Department
BuildingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax' (509) 688:0037
FOR INSPECTIONS, CALL (509) 688-0054
License #:
7
Permit Use:
Phone (Daytime ontact):
S o eq/Kp Uk
City
Nos iSr
Ci
(( egit t„t, 2 /
State Zip Code
Phone#: -?28-09(0
W 19 992/6
State Zip Code
AUTHORIZED SIGNATURE
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DESCRIPTION OF WORK
# OF
UNITS
X
COST
TOTAL
AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
/
X
515.00
=
1 5
2
FUEL BURNING APPLIANCE
More than 100,000
X
$19.00
=
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
5100 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
5100.00
=
7
BOILER/REFRIGERATION
1 - 100M BTU
X
515.00
=
8
BOILER/REFRIGERATION
101 - 500M BTU
X
528.00
=
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$39.00
=
10
i.. /
BOILER/REFRIGERATION
_
1,001 - 1,750M BTU
' -
X
' 557.00
=
11
BOILER/REFRIGERATION _-...__.
More than 1750M BTU
X
' 595.00
=
12
GAS LOG, GAS INSERT, GAS FIREPLACE _
-- - _ _ - - -- _
Z
X
$10.00'
2 D
13
RANGE - — -_ - - -- -
- - - -
/
X
510.00
=
/t"
14
DRYER . -
X
510.00
15
FUEL BURNING WATER HEATER
/
X
510.00
=
ID
16
MISC FUEL BURNING APPLIANCE
X
510 00
=
17
GAS PIPING (each outlet)
S
X
51.00
=
.5'
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
512.00
=
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10,000 CFM
X
519 00
=
22
EVAPORATIVE COOLERS
X
$10 00
=
23
TYPE I HOOD
X
$50 00
=
24
TYPE III -100D
X
510.00
=
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
/
X
512.00
=
I.
26
AIR CONDITIONER
3-15 TON
X
520.00
27
AIR CONDITIONER
15-30 TON
X
525.00
=
28
AIR CONDITIONER
30-50 TON
X
535.00
=
29
AIR CONDITIONER
- More than 50 TON
X
560 00
=
30
LPG STORAGE TANK - - ---
- . -
X
510.00
=
31
WOOD OR PELLET STOVE/INSERT . - --
- - _
X
510.00
=
32
WOOD STOVE - FREE STANDING _
_ _
X
525.00
=
METHOD OF PAYMENT: _
0 CASH 0 CHECK 0 VISA _ 0 MC
CARD #:
DATE:
SUBTOTAL ,
PROCESSING FEE
535.00
EXPIRES
TOTAL PERMIT FEE DUE:
/07'0°
AUTHORIZED SIGNATURE
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