2006, 02-07 Permit App: 06000371 PipingMalley
Community Development
Mechanical Permit
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
suns. cpokanevalley.ore.com
Application
n Commercial
PERMIT NUMBER: 0.3-71
PERMIT FEE: l
Residential
SITE ADDRESS:
Building owner J o A1/4„,„ F i g e (I
-- -
_
Name: J n A tem,. 1* 5gt11
Phone: G. X103 Fax:
Address: p S a. 4 1_ . M 1 S S 1 ort
City: Sri- k0,n State: U fn
Zip: ri 9210-.
. Contra or 0 _\ c��/
J
.Phone:
Name: ?cj ,, q� cel e..., -d(r„n o N.
9 Z2--- Z 72>l Fax:
In
Address{. 7 i 2.1 ( L7 7 (-at1
Cit)'r, ae,,,,11-cki- ,�j, Stater ��
Zipq e 1 1%
License No: Do `, 1-- b y97___ x-41 n -y brk
1/ - City Business License *II:
Contact
Name:
Phone:
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
$15.00
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
X
$50.00
4
UNLISTED APPLIANCE (Additional Fee)
More than 400,000
X
$100.00
5
USED APPLIANCE (WSEC min. AFUE rating)
Equal to or less than 400,000
X
550 00
6
USED APPLIANCE (WSEC min AFUE rating)
More than 400,000
X
5100 00
7
BOILER/REFRIGERATION
1 - 100M BTU
X
$12 00
8
BOILER/REFRIGERATION
101 - 500M BTU
X
520.00
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$25.00
10
BOILER/REFRIGERATION
1,001 - 1,750M BTU
X
$35.00
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
560,00
12
GAS LOG, GAS INSERT. GAS FIREPLACE
X
$10.00 .
13
RANGE
X
110 00
14
DRYER
X
$10.00
15
FUEL BURNING WATER HEATER
X
$10.00
16
MISC FUEL BURNING APPLIANCE
X
$10.00
17
GAS PIPING (each outlet)
X
$1.00
1B
DUCT SYSTEMS
X
$10.00
19
VENTILATING FANS
X
510.00
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
X
$12.00
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
$10.00
25'
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
112.00
26
AIR CONDITIONER
3-15 TON
X
$20.00
27
AIR CONDITIONER
15-30 TON
X
$25.00
28
AIR CONDITIONER
3D-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
$10.00
32
WOOD STOVE - FREE STANDING
X
525.00
33
REPAIR & ADDITIONS
X
$15.00
34
VENTILATION SYSTEMS
X
$12.00
35
VENTILATION MECHANICAL EXHAUST
X
$12.00
36
INCINERATOR - RESIDENCE
X
519.00
37
INCINERATOR - COMMERCIAL
X
$22.00
METHOD OF PAYMENT:
UCASH 0 CHECK 0 VISA 0 MC
CARD #.
AUTHORIZED SIGNATURE:
DATE:
EXPIRES:
SUBTOTAL
PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE:
REVISED 826/05