2007, 07-18 Permit App: 07002780 Mechanical FixturesSpiikan�
cosOUalley•
Community Development
Mechanical Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
wwl5.snokaneval lev.oro
❑ Commercial
PERMIT NUMBER: O Zi ccC
PERMIT FEE: Li 01. CO
esidential
SITE ADDRESS:
Building Owner 6(Nt(O1'3 - \o06E/
(
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Name.
Phone GOA -%cS y
Fax:
Address:
) b (I ^^ C Dawa.1 A
1` `
City: 5qo \Pr -LEY J
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State:
Zip
Contractor,'
Name
l'hone.
Fax
Address:
City:
State
Zip
License No:
City Business Lie:
Contac)
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-
Name
/0.14. E'oucL
Phone: 5?? G pfv
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
515.00
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
X
550.00
4
UNLISTED APPLIANCE (Additional Fee)
More than 400,000
X
5100 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
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
525.00
10
601 LER/REFRIGERATION
1,001 - 1,750M BTU
X
535.00
11
BOILER/REFRIGERATION
More than 1 750M BTU
X
$60 00
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
510 00
13
RANGE
X
510 00
14
DRYER
X
510 00
15
FUEL BURNING WATER HEATER
1
X
510 00
16
MISC. FUEL BURNING APPLIANCE
X
510 00
17
GAS PIPING (each outlet)
X
51 00
18
DUCT SYSTEMS
X
$10.00
19
VENTILATING FANS
X
$10.00
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
X
512.00
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10,000 CFM
X
$15.00
22
EVAPORATIVE COOLERS
X
$10.00
23
TYPE I HOOD
X
$50.00
24
TYPE II HOOD
X
510.00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12 00
26
AIR CONDITIONER
4-15 TON
X
520 00
27
AIR CONDITIONER
15-30 TON
X
525.00
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
510 00
32
WOOD STOVE - FREE STANDING
X
$25 00
33
REPAIR 8. 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
$22.00
METHOD OF PAYMENT:
DCASH
CARD it.
AUTHORIZED SIGNATURE:
REVISED 826/05
D CHECK D VISA DMC
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE: