2009, 08-04 Permit App: 09002397 Heat Pump, AC--
Pam* Center ,
Sriolgane 11707 E Sorague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX (509)688-0037
,Community Development unaosookanevalleyont
Mechanical Permit Application
: SITE ADDRESS: c cS" • frt-
CEJ
‘_.
5.739
7
PERMIT NUMBER:
PERMIT FEE: CO "-
El Commercial Et(esidential
Banding Owner
N2me k. ar e1/4_, rz_c y) fr-k. Phone: 5-43*. _ sryy ntio Pia: 1--,
Address: Si ( (i - filk C ill -e-,(._ ' Citr S Itiblea4 U at i State:
i/J ‘14-
ZIP: 996110
Contractor/3 ± C.: prEArtvii oum) Az Coodiaaria 9
Nor Phone: (42. 7 _0696 i Fir S ovite.
Address' I ii qt ,„ E.- Cat-deltaciir -SiVe-et‘Ma Ailey state: w#4-
vP: 41eih
LicenSe N°: &REA/I-Are) estki I City Business Lac: 1
Fract: allt 7- etrii Neil a 1
Name: Phone: 7 io -2..reqm Cell --- -
DESCRIPTION OF WORK .
# OF UNITS
X '
COST
= TOTAL AMOUNT
1
FUEL BURNING APPUANCE
Equal to or less than 100,000
X
312.00
2
FUEL BURNING APPLIANCE
More than 100,000 .
X
315.00
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400.000
X
350.00
4
UNLISTED APPLIANCE (Additional Fee)
More than 400,000
X
3100.00
5
USED APPLIANCE (WSEC min. AFUE rating)
Equal to or less ten 400.000
X
350.00
6
USED APPUANCE (WSEC Ctn. AFUE rating)
Moro than 400,000
X
3100.00
7
BOILER/REFRIGERATION -
• 1 - 100M BTU
X
312.00
8
BC4LEFUREFRIGERATION
101 - 5DDM BTU
X
320.00
9
BOILER/REFRIGERATION
501 -1.000M BTU
X
325.00
10
BOILESEERIGEFtAlloN
1,001 - 1,750M BTU
X
335.00
11
souiFuREFRIdERATiorq
More than 1,750M BTU
X
360.00
12
GAS LOG. GAS INSERT, GAS FIREPLACE
X
310.00 •
13
RANGE
X
310.00
14
DRYER
X
310.00
15
FUEL BURNING WATER HEATER
X
310.00
l�
MISC. FUEL BURNING APPLIANCE
X
310.00
17
GAS PIPING (each outlet)
X
31.00
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
312.00
21
AIR HANDLER POES NOT include ducting)
Greater than 10,000 CFM
X
315.00
22
EVAPORATIVE COOLERS
X
310.00
23
TYPE 1 HOOD
X
350.00
24
TYPE II HOOD
310.00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
312.00
26
AIR CONDITIONER
3-15 TON
X
$20.00
27
AIR CONDMONER
15-3D TON
X
325.00
28
NR CONDITIONER
30-50 TON •
X
335.00
29
AIR CONDMONER
More than 50 TON
X
380.03
30
LPG STORAGE TANK
X
310.00
31
WOOD OR PELLET STOVF_ANSERT
X
310.00
32
WOOD STOVE - FREE STANDING
X
325.00
33
REPAIR & ADOMONS
X
315.00
34
VENTILATION SYSTEMS
X
312.00
35
VENTILATION MECHANICAL EXHAUST
312.00
38
INCINERATOR- RESIDENCE
X
319.00
37
INCINERATOR - COMMERCIAL
X
322.00
METHOD OF PAYMENT:
['CASH 0 CHECK 0 VISA 0 MC
CARD #:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VW:
SUBTOTAL
PROCESSING FEE
335.00
TOTAL PERMIT FEE DUE