2007, 02-16 Permit App: 07000467 Mechanical FixturesPermit Center
S pol(3ne ® 11707 E Sprague Ave, Suite 106
Valley Spokane Valley, V1'A-9206 —�
(509)688-0036 F . )509 8-()037
Community Development www.s okanevall slam T! IIE "
Mechanical Permit Application I ❑ Commercial
PERMIT NUMBER: 7b 3 7
PERMIT FEE:
Residential
SITE ADDRESS:
ht13 1 b LUUI
Building Owner ,
n) n n 1 \?Il 1 �= 5i
Name: &I o r i s 14 h i
i v u s ph ' e �.
Fax:
5943
Address: - It, s Mde mer
City: 5 c. -,t' V Ile/
State: kJA
Zip: c12/‘
Coutra_c_tor
-
Name: Phone: �-/�-�
Ar corps. 44,11u h ccl l 3IS
Fax: z.m7-093-0
Address: ,�7 Ci /?
3%/�i C irf.nceAt.,1 Ty' Jrr�Kt ,,,,.to
State:
cid
Zip: 9 S 2/7
License No: 4/ PCO C M'T L 3
City Busidess Lic: z i 1�
255
Name: 1 ,,re t/ n I. droner
Phone: 2'3O f 3o
DESCRIPTION OF WORK
#OF UNITS X
COST
= TOTAL AMOUNT
FUEL BURNING APPLIANCE
Equal to or less than 100,000
/I
x
$12.00
12 "c
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 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
100
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
$1D 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 0 CHECK ❑ VISA 0 MC
CARD #'
AUTHORIZED SIGNATURE:
REVISE!) 8/26/05
EXPIRES
VIN.
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
yr°