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2007, 05-18 Permit App: 07001861 Mechanical Fixtures
cm61 an e IS Valley Community Development Permit Center 11707 E Sprague Ave, Suite 106 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 www.spokanevalley.org Mechanical Permit Application ❑ Commercial PERMIT NUMBER: fl - PERMIT FEE: esidential SITE ADDRESS: �D 4 , /Yet g, gl! Building Owner 2Duk er- /6 / - L -4/5-...-/ Name: '7)1l S At zi.S , ..5ikt.N 3/ /SArtg,) Phone: `- jg -4 J / f, Fax: � 4 -3 S - 3 Address: D.� N J/ Lt y� v) /7 ��! ©Aer-{.� Ai kyr city: Sip, hfuc (%r State: �ia - Zip: Contractor H t//9 e (Dori h .Ivo Li Name:MIc �hli�/ �r(dot.,�i5 Phone: �- -- q ._et 7 i 6 Fax: E7 y-, 9� z Address: S A/ c� het -til �'1 G� Ave 7'Q City: Sp0keThe State: /VA Zip: oZ 7 License No: liv/9 eeC 9, VLM City Business Lic: Contact Name: Phone: DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 GAS APPLIANCE Equal to or less than 100,000 / X $12.00 2 GAS 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 GAS WATER HEATER X $10.00 16 MISC. GAS 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 IHOOD 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 0 VISA 0 MC CARD #: AUTHORIZED SIGNATURE: REVISED 8/26/05 EXPIRES: VIN: SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: