2008, 12-01 Permit App: 08004664 Mechanical FixturesSpokane
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Community Development
Mechanical Permit Application
Permit Center
11703 E Sprague Ave, Suite 13-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permncenterespokanevallev.org
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PERMIT NUMBER:
PERMIT FEE:
n Commercial VI Residential
SITE ADDRESS: 10111 E ,4k5Si Dit - "Vt V4ley 12)14-
DESCRIPTION
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Building Owner :-- _ _-_ -
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Name:
Name: X rp ( _I_. r
Fax:
Phone: as -r...51.,
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Address (01 t 1 pc11�_
City. Ll.eva-Uer State 9wit
Zip: 9,ty7
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Contractor - -
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Name: et �,/ /o„(. . ��E���F'1,-_ - d
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Phone: / n 7-x / Fax:
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Address: 1/4.1. Y.�
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City:y I•Ln.� State.
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Zi p 99x.2
License No. �' vet c t 1 -_i q ..c
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City Business Lie:
Contact -
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Name: ,
Goll ., ,_
Phone: 3L#2 312.4
DESCRIPTION ORI9ORK
# OF UNITS
X
COST
= TOTAL AMOUNT
FUEL BURNING APPLIANCE
Equal to or less than 100,000
f
X
$12 00
12-
2
Z
2
FUEL BURNING APPLIANCE
More than 100,000
X
515 00
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
X
550.00
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
$100 00
7
BOILER/REFRIGERATION
1 - 100M BTU
X
512.00
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
535.00
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
$60 00
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
51000
13
RANGE
X
$10 00
14
DRYER
X
510 00
15
FUEL BURNING WATER HEATER
x
510 00
16
MISC FUEL BURNING APPLIANCE
X
$10 00
17
GAS PIPING (each outlet)
1
X
51.00
-/
18
DUCT SYSTEMS
X
510 00
19
VENTILATING FANS
X
$10.00
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
510 00
23
TYPE I HOOD
X
$50 00
24
TYPE II HOOD
X
$10 00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
51200
26
AIR CONDITIONER
4-15 TON
X
$20 00
27
AIR CONDITIONER
15-30 TON
X
$25 00
28
AIR CONDITIONER
30-50 TON
X
535 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
510 00
32
WOOD STOVE - FREE STANDING
X
525 00
33
REPAIR & ADDITIONS
X
515.00
34
VENTILATION SYSTEMS
X
$12.00
35
VENTILATION MECHANICAL EXHAUST
X
$12.00
36
INCINERATOR — RESIDENCE
X
$19.00
37
INCINERATOR — COMMERCIAL
x
$22.00
METHOD OF PAYMENT:
❑CASH ❑ CHECK ElVISA ❑ MC EXPIRES.
CARD # VIN
AUTIIORIZED SIGNATURE: Lahr
r V
REVISED 826/os
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
7