2008, 03-28 Permit App: 08001077 Heat Pump, ACTat/
,alley
Permit Canto
11707 E Sprague Ave, Suite :06
Spokane Valley, WA 99206
Community Development (509)688-0036 FAX. (509)088-0037
tY P www sookanevailet. ow
Mechanical Permit Application
SITE ADDRESS: 5).-S4
PERMIT NUMI3ER: -' /011
PERMIT FEE: i
C Commercial M avidantial
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Building Owner (V c L G &c - y
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Zip:
Name: f
Phone: t 7'j .' l 3 / Fax:
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Address: c-• Z S s • t• qA��1 ` C(\ee
citystiUka WC v a'teasr ` Stater4
Contractor/s .d... C. Cl LG
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Phone: R2.7 _91 4 !gyp Fax: SCi 01/44
Name;
Address: / gilt •.'&a a a+0, itit s
Ot ,1 'L'.4it vt.,. 16s /tP::. State: I.AJ Pi-
Zip: ':r? z°(r.'a
License No::gC Ht:: ate,
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? CityBusiness Lic:
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Name:
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Phone: 71U-2'ZV(3 Celt-
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FUEL BURNING APPLIANCE
Equal to or less than 100,000
2
3
FUEL BURNING APPLIANCE
UNLISTED APPLIANCE (Additional Fee)
More than 100,000
Equal to ar fess than 400,000
S OF UNITS
UNLISTED APPLIANCE (Additional Fee)
More than 400 000
1 Equal to or lass than 400,000
USED APPLIANCE (WSEC min. AFUE rating More than 400,000
BOILER/REFRIGERATION
BOILER/REFRIGERATION
USED APPLIANCE SEC min. AFUE ra
BOILER/REFRIGERATION
1 100M BTU
101 -500 41 BTU
501 - 1,000M BTU
COST
$12.00
$50.00
$100.00
£50.00
$10000
X $'1200
X $20.00
X 525.0)
535.00
BOILER/REFRIGERATION 1,001 -1 750M BTU
BOILER/REFRIGERATION More than 1,750M BTU
GAS LOG, GAS INSERT. GAS FIREPLACE
FUEL BURNING WATER HEATER
ISC. FUEL BURNING APPLIANCE
GAS PIPING (eac) outlet)
DUCT SYSTEMS
VENTILATING FANS
AIR HANDLER c OES NOT include ducting)___ Equal to o: less than 10000 CFM
AIR HANDLER (DOES NOT include ducting) Greater than 10,000 CFM
EVAPORATIVE COOLERS
TYPE I HOOD
TYPE II HOOD
HEAT PUMP/AIR CONDITIONER
AIR CONDITIONER
AR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
0-3 TON
3.15 TON
1530 TON
30-50 TON
More than 50 TON
560.00
510.00
510.00
$10.00
$10.00
£ 10.00
51.00
510.00
510.00
$12.00
$15.00
510.00
$50.0G
510.00
512.00
20.00
525.00
$35.00
TOTAL AMOUNT
LPG STORAGE TANK
WOOD OR PELLET STOVEINSERT
WOOD STOVE - FREE STANDING
REPAIR & ADDITIONS
VENTILATION SYSTEMS
VENTILATION MECHANICAL EXHAUST
INCINERATOR - RESIDENCE
INCINERATOR- COMMERCIAL
METHOD OF PAYMENT:
OCASH 0 CHECK 0 VISA 0 MC
CARD it.
AUTHORIZED SIGNATURE:
REVISED 1)2605
EXPRES:
VIN:
$15.00
512.00
512.00
519.00
572.00
SUBTOTAL
PROCESSING FEE
TOTAL PERMIT FEE DUE: