2006, 06-26 Permit App: 06002484 Mechanical FixturesPermit Center
S iokane 11707 E Sprague Ave, Suite 106
sValley Spokane Valley, WA 99206
® (509)688-0036 FAX: (509)688-0037
Community Development uww.snokanevallev.ors
Mechanical Permit Application ❑ Commercial
PERMIT NUMBER: -7t
PERMIT FEE: 45`(1 , L (
❑ Residential
SITE ADDRESS: r SS, o n
Building Owner
8 Me. C4 ooick.1 d
AUTHORIZED
Name: Phone: .DS-/,- '1660 Fax:
Address:'? City
nm State: p Zip: q (10/�
I Y i Z i%tib 5siov, 1l v 3,6k 1
61P-'
C onactr fj / . -.
- tro-, 1,16 ill �n r•.�o✓' l� � i.rliC,�E'.5.: , �-l� :.-. -
Name: Phone: �, ` / f _ 3 q �j Fax: v q(_ y 7
T (R (D (
Address: Ci State: Zip:/
lata �� Ln C:(.'.S�- �d � 6�r !/'cr�/�c�¢ ,�, y�%�
License No:ryice: City Busine s Lic:
-
Contact' v. ,1 �`
�S
Name: Phone: Li� 3 9//
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
?
X
$12.00
=
/ Z
2
FUEL BURNING APPLIANCE
More than 100,000
X
$15.DD •
=
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 Iess 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 - 50DM 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 indude 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 I1 HOOD
X
$10.0D
=
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
i
X
$12.00
=
1 2
26
AIR CONDITIONER
3-15 TON
X
$20.00
=
27
AIR CONDITIONER
15-330 TON
X
$25.00
=
28
AIR CONDITIONER
30-50 TON
X
$35.D0
=
29
AIR CONDITIONER
More than 5D TON
X
$60.00
=
3D
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.D0
=
35
VENTILATION MECHANICAL EXHAUST
X
$12.00
=
36
INCINERATOR - RESIDENCE
X
$19.00
=
37
INCINERATOR - COMMERCIAL
X
$22.00
=
METHOD OF PAYMENT:
DCASH 0 CHECK 0 VISA 0 MC
CARD #.
SUBTOTAL
7
EXPIRES:
PROCESSING FEE
$35.00
VIN:
TOTAL PERMIT FEE DUE:
00
Ki Q, _..-
"
AUTHORIZED SIGNATURE:
REVISED 6n6/05