2007, 11-26 Permit App: 07004649 PipingSpokane
4.000Ie.
Community Development
Mechanical Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokan oval Iev.ore
PERMIT NUMBER: CAA/
PERMIT FEE: / _
❑ Commercial E Residential
SITE ADDRESS:
100 N. /1 a PPi 7t «r4
Building Owner
-
Name: c R Y v
/
p
V I (/ i•-)/}7 Q, y
Phone' c3 `j ,c14 S
Fax
Address: $j iv
/1toFF'yr' /ed.
City Sia k- re l/41).,-
State'
A.'M
Zip'g9a06
Contractor
Name.
Phone'
Fax:
Address:
City:
State
Zip:
License No:
City Business Lie:
Contact
Name:
('hone:
DESCRIPTION OF WORK
a 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
$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
14
RANGE
DRYER -
X
X
$10 00
$10.00
15
FUEL BURNING WATER HEATER .
X
$10 00
16
MISC FUEL BURNING APPLIANCE
X
$10 00
17
GAS PIPING (each outlet)
1
X
$1 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
512.00
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10,000 CFM
X
515 00
22
EVAPORATIVE COOLERS
X
510.00
23
TYPE 1 HOOD
X
550 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
525 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
522.00
METHOD OF PAYMENT:
❑CASH
CARD #
AUTHORIZED SIGNATURE:
REVISED 8/26/05
0 CHECK 0 VISA 0 MC
EXPIRES'
VIN
SUBTOTAL
PROCESSING FEE -
535.00
TOTAL PERMIT FEE DUE: