2005, 05-23 Permit App: 05001618 BoilerMECHANICAL PERMIT APPLICATION
Phone: (509) 688-0036; FAX: (509) 688-0037
For Inspections, Call (509) 688-0054
Project Address: /7223 E (n,Q(\Tcrown ay
Owner: c,RAy QLStOf✓tCf
Mail ng Address:
DS -1(7(5
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Permit Use: On Lc V, A AI CAL—
Phone
AL.Phone (Daytime Contact): '121/44 - 3 Sgi
�1/� City State Zip Cade
Conractor: Lr \OSS 2 l`nL. License#: MO$CtirO10bLA Phone#: -1`47 - Og Sc
Mailing Address: 104-1 \i. WLSrap W /3 Li/ o SpoICA At WDA 9'12Z�{
DESCRIPTION OF WORK
-
# OF UNITS
X
°tete
COST
=
Lia Lace
TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
$1200
=
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 (W SEC 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
1
X
$12.00
=
) 2
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
$1000
=
14
DRYER
X
$1000
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
=
-_
HEAT PUMP/AIR CONDITIONER
- 013-T ON
X
$12.00
=
26
AIR CONDITIONER
3-15 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 8 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 P YMENT:
0 CASH CHECK 0 VISA 0 MC
^CARD # -
SUBTOTAL
1 Z.
DATE
PROCESSING FEE
$35.00
EXPIRES
TOTAL PERMIT FEE DUE:
/$
T 7.00 00