2004, 12-03 Permit App: 04009272 Range, PipingTO'3Obd SOST178b6OS
NOL) 11 2004 09:45 FR
Project Add e s:
Owner:
121._
Mailing Address:
MECHANICAL PERMIT APPLICATION
TO 4848332.
1
Phone: (509) 688-0036; FAX: (509) 688-0037 i
"`'��
For Inspections, Call (509) 688-0054�_
LS:OT VOW EC nUN
P.03/03
C-Okimmunity Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
AUTHORIZED SIGNATURE'.
TP/TP
SNI203H dd
vJ. TnTni 0r (2C fh"t .1•w
SOSTVBb60S LETT b00Z/EZ/TT
DESCRJPTION OF WORK
APPLIANCE
E;upi 14 or less man 100,000
More Man 100.000
$ OF UNITS
X
X
X
COST
512.00
515.00
_
=
=
TOTAL AMOUNT
1
FUEL BURNING
APPLIANCE
2
FUEL BURNING
APPLIANCE (Addltlgirill Fee)
Equal to or Isms than 400,000
X
550.00
-
3
UNLISTED
APPLIANCE (Additional Fee)
More than 400,030
X
St0o,pp
s
w
r
UN}.ISTED
USED APPLIANCE (A/SEC min. AFUB rating)
_ Equal to or less than 400 000
, Moto than 400,000
1 -100M STU
X
X
X
X
550.00
5100.00
51 1 S'9
520.00
=
=
5
USED APPLIANCE min, AFUE rat Q)
6
7
(WSEG
SOILERIREFRIGERATION
B
BOILER/REFRIGERATION
101 - 500M BTU
BOILER/REFRIGERATION
501 • i,000M BTU
X
525.00
9
BOILER/REFRIGERATION
1,001 - 1,750m BTU
X
535.00
10
11
BOIL1 FUREFRIERATION
More than 1.750M BTU
X
'S09,QQ
12
GAS LOG GAS INSERT, GAS FIREPLACE
, x
510.00
13
RANGE
I
1
x
X
1<10.00
510.00
'
=.
/0 r oO
"
to
DRYER
15
FUEL BURNING WATER HEATER
X
110.00
=
10
MISC. FUEL BURNING APPLIANCE
X
510.00
' 17
uti
GAS PIPING toad) oat)
( /
X
x1.00
`
i 10
18
DUCT SYSTEMS
x
s10.o0
=
,
19
VENTILATING FANS
•
X
510.00
-
20
AIR NOLER DOES NOT include ductfn!
Equal to or less than 10,000 CFM
X
512,00
=
21
AIR HANDLER (DOT=S NOT include ducting)
Gluate! than 10,000 CFM
X
515.00
x
22
EVAPORATIVE COOLERS),_
510.00
_
2S
TYPE I HOOD
X
550.00
■
24
TYPE a HOOD
X
510.00
25
HEAT PUMP/AIR CO11pmONER
0-3 TON
X
X
51__„00
520.00
=
= ,
26
AR CONDITIONER
313 TON
7
AIR CONDITIONER
15.30 Too
3040 TON
X
X
525.00
5.00
=
2S
AIR CONDITIONER
29
AIR CONDITIONER
More than 50 TON
X
580.00
■ _
30
]PG STORAGE TANK
X
510.00
■
31
WOOD OR PELLET STOVEANSERT
' X
510.00
32
WOOD STOVE - FREE STANDING
X
S2S,00
=
33
REPAIR & AM MONS
X
515.00
,-
S4
S4
VENTILATION SYSTEMS
X
112.00
=
35
vENTtLATION MECHANICAL EXHAUST
X
512.00
-
38
INCINERATOR - RESIDENCE
X
519-00
37
INCINERATOR - COMMERCIAL _
X
I2.2._00
-
METHOD OF PAYMENT:
0 CASH 07 CHECK 0 VISA 0 MC
CARD iY:
S_U•3TOTAL
11,015
535.00
DATE
PROCESSINO FEE
EXPIRES.
TQTAL PERMIT
FEE DUE
q‘ terD
AUTHORIZED SIGNATURE'.
TP/TP
SNI203H dd
vJ. TnTni 0r (2C fh"t .1•w
SOSTVBb60S LETT b00Z/EZ/TT