2009, 07-14 Permit App: 09002083 Mechanical FixturesMECHANICAL PERMIT APPLICATION Community uevelopmeni uepannttrnt
R Building Division
s��e Phone: (509) 688-0036; FAX: (509) 688-0037 _� j 11707 E. Sprague Avenue, Suite 106
For Inspections, Call (509) 688-0054 Spokane Valley, WA 99206
Project Addres /Q S/,? R�� x PA �� ermit Use: PBD - -fie J
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Contractor. cd "% t"' License #: D � 1 W �� ` Phone #: gZe--1C-
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DFscRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
$12.00 =
2
FUEL BURNING APPLIANCE
More than 100,000 �V'
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 1
USED APPLIANCE SEC min. AFUE ratio
Equal to or less than 400,000
X
$50.00 =
6
USED APPLIANCE SEC min. AFUE ratio
More than 400,000
X
$100.00 =
7
BOILER/REFRIGERATION
1 -100M BTU
X
$12.00 =
8
BOILER/REFRIGERATION
1 of - 500M BTU
X
$20.00 =
9
BOILEP/REFRIGERATION
501 - 1,000M BTU
$25.00 =
10
BOILERIREFRIGERATION
1,001 - 1,750M BTU
$35.00 =
11
BOILERIREFRIGERATION
More than 1,750M BTU
Mx,
$60.00 =
12
GAS LOG, GAS INSERT, GAS FIREPLACE
$10.00 =
13
RANGE
$10.00 =
14
1 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 &M
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.D0 =
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
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 & 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: SUBTOTAL o-
❑ CASH ❑ CHECK /ISA ❑ MC DATE: % I j q L oPROCESSING FEE
5 VI
CARD # EXPIRES: TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE: