2009, 08-04 Permit App: 09002398 Mechanical Fixtures'_Valley
Permit Center
11707E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Comamunity Developmazrt wnnvsookanevallev.orR
Mechanical Permit Application
PERMIT NUMBER:
,,- 1 PERMIT FEE:.'
[C]
❑ Commercial esidential
SITE ADDRESS:
4P5(° �' . (amu S 6e/cj
Building Owner l4 (/L yc t.ccAA_Name:
Phone::y- vs Fax:
•Address: ty S'"i0 6. ( a fr-P(ce
cit CJ 1�Qa, C/ State:, i /9
W'
tip: *Q11,
eto
Contrar13 .4 C.:- PrE4 f lVIj i caw)
/�
A t
W lad yi4r12A r Let '.
Name: t
Phonea./-gen I Fax- 50014--
Address: I iY(a, . E.. C a-1� (02o
`Iv: -,Y �-;y'/Y`4bc4 It rite y State: w*-
/
Zip: QPIth
License No: c+S8-e0 ?SN%1
ij tic
City Business Iic y
fp��
..
.
Name:
Phone:. 7 / u - Z-YG C e// -
DESCRIPTION OF WORK
0 OF UNITS
X'
COST
= TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or Iasi Bmn 100,000
r
X
512.00
/7.00
2
FUEL BURNING APPLIANCE .. -
More than 100,000 . -
X
$15.00
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less Man 400.000
X
$50.03
4
UNL)STED APPLIANCE (Adddiorel Fee)
Mere 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 AFPLI NOE (WSEC min. AFUE rating)
More than 400,000...
X
5100.00
7
BOILER/REFRIGERATION
1-100M BTU
X
512.00
8
BOILER/REFRIGERATION
101 - 500M BTU
X
520.00
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 Man 1,750M BTU '
x
560.00
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
510.00 •
13
RANGE
X
$10.00
14
X
510.00
15
FUEL. BURNING WATER HEATER
X
$10.00
16
MISC. FUEL BURNING APPLIANCE
17
GAS PIPING (each outlet)
18
DUCT SYSTEMS
r
X
510.00
x
51.00.
/ 6U
X
510.00
19
VENTILATING FANS
X
510.00
20
AIR HANDLER (DOES NOT include ducting)
Equal b or less than 10,000 CFM
X
$12.00
21
AIR HANDLER (DOES NOT include ducting)
Greater Man 10,000 CFM
X
$15.00
22
EVAPORATIVE COOLERS
X
$10.00
23
TYPE I HOOD
X
$50.00
24
TYPE SNOOD
X
510.00
25
HEAT PUMP/AIR CONDITIONER
03 TON
X
512.00
28
AIR CONDITIONER
3-15 TON
X
520.00
27
AIR CONDITIONER
1530 TON
x
52560
28
AIR CONDITIONER
3050 TON
x
*35.00
29
AIR CONDITIONER
More than 50 TON
X
$60.00
30
LPG STORAGE TANK
X
510.00
31
WOOD OR PELLET STOVE/INSERT
X
510.00
32
WOOD STOVE - FREE STANDING
X
$25.00
33
REPAIR & ADDITIONS
X
$15.00
34
VENTILATION SYSTEMS
x
512.00
35
VENTILATION MECHANICAL EXHAUST
X
512.00
36
INCINERATOR - RESIDENCE
X
$19.00
37
INCINERATOR - COMMERCIAL
X
522.00
METHOD OF PAYMENT:
['CASH 0 CHECK [' VISA 0 MC
CARD #:
AUTHORIZED SIGNATURE:
REVISED MEAD
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE