2007, 10-09 Permit App: 07004038 RangeSiiiikane
Community Development
Mechanical Permit Application
Permit Center
11703 E Sprague Ave, Suite 13-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
N.11VV1. sookanevalln• org
PERMIT NUMBER: e �C 3
PERMIT FEE: S
n Commercial k Residential
SITE ADDRESS: i O / 3 S . /l G.I''/ t(_h'1
Building Owner
Name: S/ ep 4t41., /3,' - n p
Phone: g al ,,/"
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Fax: C/a 6 (,
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Address: / O / S f4/J uN / u h-7
City: �
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Contractor�
Name: 1°_/ i&Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business Lic:
Contact
Name: S T 11�
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Phone: y
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DESCRIPTION OF WORK
# OF UNITS
X
COST
= TOTAL AMOU
1
FUEL BURNING APPLIANCE
Equal to or Tess than 100,000
x
$12.00
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 (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
GASG, GAS INSERT, GAS FIREPLACE
X
810.00
13
NGE
x
$10.00
/O. co
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
18
DUCT SYSTEMS
X
$10.00
19
VENTILATING FANS
X
;10.00
20
AIR HANDLER (DOES NOT indude ducting)
Equal to or less than 10,000 CFM
x
$12.00
21
AIR HANDLER (DOES NOT indude ducting)
Greater than 10,000 CFM
X
815.00
22
EVAPORATIVE COOLERS
X
810.00
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
4-15 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
810.00
32
WOOD STOVE - FREE STANDING
X
825.00
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
822.00
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
$36.00
TOTAL PERMIT FEE DUE: