2006, 09-19 Permit App: 06003774 Dryer, Piping4,0000 Val ley Spokane Valley, WA nnis
(509)638-0036 FAX: (509)633-0037
Community Development www.sookanevailev.ore
Wehanical Permit Application D Commercial
SITE ADDRESS: qc)\ c...\ sr•
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PERMIT FEE:
Residential
_ . .
Building Ofrner I" ,•(410:1;;:rpAor,oflore, 4r14r,
Name:
CAly-xxri A )e ,c( -)r-) Phone: (s-/ ) we? ) -3,giet/ax:
Address:
' City: IP, to a - -
. _ state:
. Zip: APP
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Name:
-_-1.00)Fax:(act ) (0 Co i
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Address:
wgra a a . at - City: A.! I , , . State: P Zip: ‘4
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License
N • x i A
V ( r e_.-- 55- e City Business Lic:
Contact':"
Narne:
'Cl(tel
Plicine: (a0g)
C?qo -
# OF UNITS
(;?c1(:)
X
COST
=
TOTAL AMOUNT
DESCRIPTION OF WORK
1
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
$101100
=
7
BOILER/REFRIGERATION
1 - 100M BTU
X
$12.00
=
B
BOILER/REFRIGERATION
101 - 50DM BTU
X
$20.00
=
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$25.00
=
10
BOILER/REFRIGERATION
1,001 - 1,75DM BTU
X
$35.00
=
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
S60.00
=
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
$10.D0
=
13
RANGE
X
$10.00
=
14
DRYER
1
X
$10.00
=
15
FUEL BURNING WATER HEATER
X
$10.00
=
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
=
17
GAS PIPING (each outlet)
i
X
$1.00
=
18
DUCT SYSTEMS
.
X
$10.00
=
-
19
VENTILATING FANS
X
$10.0D
=
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
3-15 'T'ON
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
$12.0D
=
35
VENTILATION MECHANICAL EXHAUST
X
$12.00
=
36
INCINERATOR - RESIDENCE
X
$19.00
=
37
INCINERATOR - COMMERCIAL
X
$22.00
=
METHOD OF PAYMENT:
['CASH 1)HECK D VISA D MC
CARD #:
SUBTOTAL
EXF'IRES:
PROCESSING FEE
S35.00
VIN:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
LEVEED 6/26/05
„.F