2007, 10-04 Permit App: 07003950 Mechanical FixturesE0•30Hd ESGc9ZGGBS
Permit Cancer
Spuka lle 11107 E Sprague Ave, Suitt 106 PERMIT NUMBER:
V r Spokane Valley, WA 99206
. Valle} (509)60.0036 FAX (509)hax-0037 PERMIT FEE:
Community Development ,,._)pis m, al Ids A
Mechanical Permit Application n Commercial Knesidential
SO:ET GOOE CO 130
• RSI s- itt(i`Ti)lon
DESCRIPTION OF WORK
1 FUEL BURNINGAPPLIANCE
FUEL BURNING APPIJANCE
Enrol 10 or Ims than 10%000
X 51200
2 -
More than 100,000
X
$15.00
3 UNLISTED APPLIANCE Addilanal Feet
4 1 UNLISTED APPLIANCE (Additional Fee)
5 USED APPLIANCE ASEC min. PFUE ranno)
6 USED APPLIANCE (VSEC olio. AFUE raanq)
7 flOILEPJPEFPIGERATION
0 9OILEPIR EFPIGERATICN
10
11
12
B O I LE PJ RE F R I G E RATIO N
B OI LE PJRE F R I G ERA11 ON
BOILER/REFRIGERATION
E•ual la ar less than 400,000
X
550 00
More than 400.000
Equal to atees Than 400,000
Man than 403,000
X
5100.00
550.03
5100 00
1- 100.\1211J
512.03 =
101 - 503111 BTU
520 30 =
501 - 1,000M BTU
X
525.00
1.001 - 1,753M 211.)
X 535.00
Moro than 1.150M BTU
X
560.30
GAS LOG. GAS INSERT, GAS FIREPLACE
13 RANGE
14 DRYER
510.00
X
510.00
X
510.00
15 FUEL BURNING WATER NEATER
16
X
510.00
MISC. FUEL BURNING APPLIANCE
17 GAS PIPING (each outlet)
19 DUCT SYSTEMS
X
510.00
5107
510.00
r
VENTILATING FANS
x
510.00
20 AIR Iia/JULER (DOES NOT Include ducting) Equal to or less Nin 10000 CFM
21 AIR FWIJULEP (DOES NOT Irrlace duchnq) 1
22
23
24
25
25
27
29
29
30
31
EVAPCPATNE COOLERS
TYPE I H000
Garter than 10,000 CFM
x
512.00
X
515 00
510 00
x
550.00
TYPEII -100D
X
510.00
HEAT PUMP/A1R CONDITIONER
AIR CONDNmONER
0-3 TON
X
512.00
3.15 TON
X
520 00
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
15-30 TON
X
525.00
30-50 TON
X
535.00
Marc than 50 TON
x
5E0.00
LPC STORAGE TANK
X
510.00
WOOD OR PFI 1 FT STOVE/INSERT
32 WOOD STOVE- FREESTANDING
33 REPAIR & ADDITIONS
x
510.00
x
525.00
X
11E00
34 VENTILATION SYSTEMS
X
112.00
35 VENTILATION MECHANICAL EXHAUST
36
37
INCINERATOR - RESIDENCE
X
$12.00
X
119.00
INCINERATOR -COMMERCIAL
x
522.00
METHOD OF PAYMENT:
OCASH 0 CHECK 0 VISA 0 MC
CARD k.
AUTHORIZED SIGNATURE:
Oi// Py /I )hell
1�%J) �'{/�/� (y/
REVISED tl2baf/P'i J r /%`
EXPIRES:
VIN'
Zd
3S6Z9Z6609
SUBTOTAL
13
PROCESSING FEE
TOTAL PERMfT FEE DUE:
535.00
OVAH 51aa.10 '0021
d69:Z1 LO EO PO
Building O'• acr
11 Phoned Fax:
Nam:: �-O leh Lr�
Zip:
C0.S State: L)a
CiY.
Addr-ss: 1 6O so
?. .29Sa�J p /
Zip: 7 /o /Ca
Contracuff n�I
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1'hnrA:s'�_ /.Z(4- 201 (1 Fav57?�`-
ame.
Name"-✓� c
C eeit
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.. Ci;y. Stab/fo./Ie S1atr: IN ff
: �I JpYR� UC F-
Lic
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Lirensc F-- City Busmtxt Lir.
License No:
Contact Gary Phck-e,208---77 3 - 99 a a'
Name: J Phone: �9- 9a 6-„mgyo
�111�:�`✓ �-{-�
=
1 TOTAL AMOUNT
,,,•,,..„,-= 1 r roti
DESCRIPTION OF WORK
1 FUEL BURNINGAPPLIANCE
FUEL BURNING APPIJANCE
Enrol 10 or Ims than 10%000
X 51200
2 -
More than 100,000
X
$15.00
3 UNLISTED APPLIANCE Addilanal Feet
4 1 UNLISTED APPLIANCE (Additional Fee)
5 USED APPLIANCE ASEC min. PFUE ranno)
6 USED APPLIANCE (VSEC olio. AFUE raanq)
7 flOILEPJPEFPIGERATION
0 9OILEPIR EFPIGERATICN
10
11
12
B O I LE PJ RE F R I G E RATIO N
B OI LE PJRE F R I G ERA11 ON
BOILER/REFRIGERATION
E•ual la ar less than 400,000
X
550 00
More than 400.000
Equal to atees Than 400,000
Man than 403,000
X
5100.00
550.03
5100 00
1- 100.\1211J
512.03 =
101 - 503111 BTU
520 30 =
501 - 1,000M BTU
X
525.00
1.001 - 1,753M 211.)
X 535.00
Moro than 1.150M BTU
X
560.30
GAS LOG. GAS INSERT, GAS FIREPLACE
13 RANGE
14 DRYER
510.00
X
510.00
X
510.00
15 FUEL BURNING WATER NEATER
16
X
510.00
MISC. FUEL BURNING APPLIANCE
17 GAS PIPING (each outlet)
19 DUCT SYSTEMS
X
510.00
5107
510.00
r
VENTILATING FANS
x
510.00
20 AIR Iia/JULER (DOES NOT Include ducting) Equal to or less Nin 10000 CFM
21 AIR FWIJULEP (DOES NOT Irrlace duchnq) 1
22
23
24
25
25
27
29
29
30
31
EVAPCPATNE COOLERS
TYPE I H000
Garter than 10,000 CFM
x
512.00
X
515 00
510 00
x
550.00
TYPEII -100D
X
510.00
HEAT PUMP/A1R CONDITIONER
AIR CONDNmONER
0-3 TON
X
512.00
3.15 TON
X
520 00
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
15-30 TON
X
525.00
30-50 TON
X
535.00
Marc than 50 TON
x
5E0.00
LPC STORAGE TANK
X
510.00
WOOD OR PFI 1 FT STOVE/INSERT
32 WOOD STOVE- FREESTANDING
33 REPAIR & ADDITIONS
x
510.00
x
525.00
X
11E00
34 VENTILATION SYSTEMS
X
112.00
35 VENTILATION MECHANICAL EXHAUST
36
37
INCINERATOR - RESIDENCE
X
$12.00
X
119.00
INCINERATOR -COMMERCIAL
x
522.00
METHOD OF PAYMENT:
OCASH 0 CHECK 0 VISA 0 MC
CARD k.
AUTHORIZED SIGNATURE:
Oi// Py /I )hell
1�%J) �'{/�/� (y/
REVISED tl2baf/P'i J r /%`
EXPIRES:
VIN'
Zd
3S6Z9Z6609
SUBTOTAL
13
PROCESSING FEE
TOTAL PERMfT FEE DUE:
535.00
OVAH 51aa.10 '0021
d69:Z1 LO EO PO