2005, 07-18 Permit App: 05002417 ValveProject Address:
Owner. SIA
MECHANICAL PERMIT APPLICATION ,
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
17
Phone: (509) 688-0036; FAX: (509) 688-0037
For Inspections, Call (5Q9) 688.0054 3 ig
S
c
Wee
Mail ng Address: 6-2o? S. I rfstav15
Con ractor. f at 67
aWA, r License #:
Mailing Address:
Permit Use:
Phone (Daytime Contact): 999 - 42, on y
Ceolverse.- eri#- 79123
Cdy State Zip Code
Phone #:
CI
State
Zip 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
$50.0D
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
=
6
BOILER/REFRIGERATION
101 - 500M BTU
X
320.00
=
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$25.00
=
10
BOILER/REFRIGERATION
1,001 • 1,75DM BTU
X
335.00
=
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
$60 00
=
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
$10 DO
=
13
RANGE
X
$10 DO
=
14
DRYER
X
$10.00
=
15
FUEL BURNING WATER HEATER
X
310.00
=
16
MISC. FUEL BURNING APPLIANCE
X
310.00
=
17
GAS PIPING (each outlet)
-
1
X
31 00
=
l -IM
18
DUCT SYSTEMS
X
310.00
=
19
VENTILATING FANS
X
310.00
=
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
315.00
=
22
EVAPORATIVE COOLERS
X
310.00
=
23
TYPE IHOOD
X
35000
=
24
TYPE II HOOD -
X
$10 DO
=
25
HEAT PUMP/AIR CONDITIONER
0-3 TONX
312.00
=
26
AIR CONDITIONER
3-15 TON
X
320.00
27
AIR CONDITIONER
15-30 TON
X
325.00
=
28
AIR CONDITIONER
30-50 TON
X
335.00
=
29
AIR CONDITIONER
More than 50 TON
X
• 360.00
=
30
LPG STORAGE TANK
X
$10.00
=
31
WOOD OR PELLET STOVE/INSERT
X
510.00
=
32
W000 STOVE - FREE STANDING
X
325.00
=
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
322.00
=
METHOD OF PAYMENT:
O CASH 0 CHECK 0 VISA 0 MC
CARD #
DATE:
SUBTOTAL
PROCESSING FEE
535.00
EXPIRES:
TOTAL PERMIT FEE DUE:
3 CO • 00
AUTHORIZED SIGNATURE: