2009, 03-05 Permit App: 09000530 Wood StovePermit Center
Slane11703 E Sprague Ave, Suite B-3�C�
pOSpokane Valley, WA 99206 PERMIT NUMBER:
aosValley'` (509)688-0036 FAX (509)688-0037 1
Community Development pemnncenter@sookanevallev.or>; ,_,/ PERMIT FEE: ��
Mechanical Permit Application ❑ Commercial I �� Residential
srrE ADDRESS: Iph O9 1✓ YY\iSSio('1 A()E
Building Owner _: -
Name: -Too t r1Y ber �c ..)�
a KS
Phone: S)Ct�a'"I IO S
Fax.
Address: IGbOqt h\ISSI0 Y} ✓h1E
City' UrcaAe JG(Iej
State: (.A)
Zip: q`1aDb
Contractor - _- -
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-
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Name:
Name:
Phone'
Fax:
Address
City:
State:
Zip:
License No:
City Business Lie:
Contact - - -
-
-
Name- "—T.:0 \0 ) 5, -pct c r
Phone: ' 362 .,-35o
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DESCRIPTION OF WORK
# OF UNITS
X
COST
= TOTAL AMOUNT
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
$50 00
6
USED APPLIANCE (WSEC min. AFUE rating)
More than 400,000
X
$100 00
7
BOILER/REFRIGERATION
1 - 100M BTU
X
$12 00
8
BOILER/REFRIGERATION
101 - 500M BTU
X
$20.00
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
$60 00
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
$10.00
13
RANGE
X
$10.00
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
18
DUCT SYSTEMS
X
$10 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
$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
$12.00
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
$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
$25.00
33
REPAIR & ADDITIONS
X
$15.00
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 (KrIECK D VISA DMC
CARD #
AUTHORIZED SIGNATURE:
REVISED t26/05
EXPIRES:
VIN:
SUBTOTAL
'd5-00
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
GOD()