2007, 04-02 Permit App: 07001047 Mechanical FixturesSpo"kanka
.Valley
Mechanical Permit Application
11707 East Sprague Avenue, Suite 106 • 509-688-0036 - Phone
Spokane Valley, WA 99206 509-688-0037 - Fax
For Inspections, call 509-688-0054
METHOD OF PA
❑ CASH 0
DESCRIPTION OF WORK
PROJECT
118!
4 t. y11ARvw, L,L-
PERMIT
USE•
ADDRESS: .
1
_Lc
OWNER cp t.5
( arscLwid.PHONE
(Daytime Contact): 999 Ls r/
/L
Cl 7 I
MAILING ADDRESS: '
I NHL( G 01RuLt. thou-
Spi*ty =vrvd(s , Ltztal
99,90
(street)
FUEL BURNING APPLIANCE
(city/state)
(ZIP)
CONTRACTOR r)I(2
O)
FN
-
LICENSE 1: Al. )V L 'yo i
MAILING ADDRESS:
¶5i7 c VWal(4)
Sp041R6Uniierg-
PHONE is-
�5cis a--7333
u,l1/2
99a/-2
(street)
•
(city/state)
(ZIP)
UNLISTED APPLIANCE (ADDITIONAL FEE)
> 400000
X
METHOD OF PA
❑ CASH 0
DATE: EXPIRES:
BANKCPJtD NUMBER
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
1 OF UNITS
X
COST
EQUALS
AMOUNT
1
FUEL BURNING APPLIANCE
• OR < 100,000
1.
X
$15
•
/5-
2
FUEL BURNING APPLIANCE
> 100,000
X
519
-
3
UNLISTED APPLIANCE (ADDITIONAL FEE)
-OR<100000
X
$50
•
4
UNLISTED APPLIANCE (ADDITIONAL FEE)
> 400000
X
3100
•
5
USED APPLIANCE (WSEC min. AFUE rating)
• or < 100,000
X
550
•
6-
USED APPLIANCE (WSEC min. AFUE rating)
>100,000
X
5100
•
7
BOILEWREFRIGERATION
1- 100M BTU
X
515
-
8
BOILER/REFRIGERATION
101- 500M BTU
X
522
9
BOILER/REFRIGERATION
501- 1,000M BTU
X
539
•
10
BOILER/REFRIGERATION
1001. 1,750/8 BTU
X
557
•
11
BOILER/REFRIGERATION
•I750M BTU
X
595
-
12
CAS LOG, GAS INSERT, GAS FIREPLACE
-
X
510
-
13
RANGE
-
X
510
-
11
DRYER
-
X
510
-
15
FUEL BURNING WATER HEATER
-
X
510
•
16
MISC FUEL BURNING APPL.
,-
X -
. 510
-
17
GAS PIPING (ea Outlet)
-
I
X
51
•
(
18
DUCT SYSTEMS
-
X
510
-
19
VENTILATING FANS
-
X
SID
•
20
AIR HANDLER (DOES NOT Include ducting)
• OR c10,000CFM
X
512
•
21
AIR HANDLER (DOES NOT include ducting)
>10,000CFM
X
519
•
22
EVAPORATIVE COOLERS
-
X
510
•
23
TYPE I HOOD
-
X
550
-
24
TYPE B HOOD
-
X
510
-
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
512
•
26
AIR CONDITIONER
3.15 TON
X
520
-
27
AIR CONDFrIONER
15-30 TON
X
525
-
28
AIRCONDMONER
30.50TON
X
$35
-
29
AIRCONDMONER
+50 TON
X
560
-
30
LPG STORAGE TANK
-
X
510
-
31
WOOD OR PELLET STOVE/INSERT
-
X
510
•
32
WOOD STOVE - FREESTANDING
-
X
$u
-
SENT s
Itamma
/ W
7rri 171 E - n
ti1'.t
iIlfataRanY
IF'. ''L
SUBTOTAL:
/ /-
/$3[55..00
PLUS PROCESSING FEE:
TOTAL PERMIT FEE DUE: 5) QU
DATE: EXPIRES:
BANKCPJtD NUMBER
AUTHORIZED SIGNATURE: