2005, 02-01 Permit App: 05000293 Propane Tank, Pipingane
MECHANICAL PERMIT APPLICATION
Phone: (509) 688-0036; FAX: (509) 688-0037
For Inspections, Call (509) 688-0054
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Protect Address- G:2) N. yYlc17or1a la SpoKo+,e Um/{ay LA) A Permit Use:
Owner: / arnnl Swnall Phone (Daytime Contact) Sag -927-6 5811
Mail rig Address C.,2 / N
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Mail ng Address. 3924 E
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SpoKone \IaiLay L)A 99207
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/�License#: {AVYIgRIQLO 5SLL Phone# So, -53S- `/7.22
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fm State 2,p Code
AUTHORIZED SIGNATURE
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less 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 mm AFUE rating)
More than 400,000
X
$10000
=
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 Nan 1.750M BTU
X
$60 00
=
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
$10 00
=
13
RANGE
X
$1000
=
14
DRYER
X
$1000
15
FUEL BURNING WATER HEATER
X
$10 00
16
MISC FUEL BURNING APPLIANCE
X
$1000
17
GAS PIPING (each outlet)
X
$1.00
=
18
DUCT SYSTEMS
X
$1000
=
19
VENTILATING FANS
X
$10 00
=
20
AIR HANDLER (DOES NOT meude ducting)
Equal to or less Nan 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
$1000
=
23
TYPE I HOOD
X
$50.00
=
24
TYPE II HOOD
X
$10 00
=
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12 0D
26
AIR CONDITIONER
3-15 TON
X
$20 00
=
27
AIR CONDITIONER
15-30 TON
X
$25 00
=
28
AIR CONDITIONER
3050 TON
1
X
$35 00
=
29
AIR CONDITIONER
More than 50 TON 1G
P.)X
$6000
30
LPG STORAGE TANK
S.JAf
I
X
$10 00
=
31
WOOD OR PELLET STOVE/INSERT
X
$10 00
=
32
WOOD STOVE - FREE STANDING
X
$25 00
=
33
REPAIR & ADDITIONS -
X
115.00
=
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.
l] CASH Yr CHECK ❑ VISA ❑ MC
r.4Rn a
SUBTOTAL
DATE
PROCESSING FEE
$35 00
EXPIRES
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE