2005, 06-23 Permit App: 05002165 Water HeaterSPOkane
ValkY
Project Address:
Owner:
Mailing Address:
Contractor:
MECHANICAL PERMIT APPLICATION
Phone: (509) 688-0036; FAX: (509) 688-0037
For Inspections, CaII (509) 688-0054
Mail'na Address:
13 2 S
7C) &) 11-)2A 1.(
(
l'S
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Permit Use: r
Phone (Daytime Contact): 913 — f? 6 0
License #:
State Zip coce
Phone # 6% 4-6 9
P 1? -1z Code
AUTHORIZED SIGNATURE.
DESCRIPTION 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
X
$15 00
=
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
X
S50 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
550 00
=
6
USED APPLIANCE (WSEC min. AFUE rating)
More than 400,000
X
5100 00
=
7
BOILER/REFRIGERATION
1 - 100M BTU
X
512 00
=
8
BOILER/REFRIGERATION
101 - 500M BTU
X
520 00
=
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
525 00
10
BOILER/REFRIGERATION
1,001 - 1,750M BTU
X
535.00
=
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
560 00
=
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
S10 00
=
13
RANGE
X
510 00
=
14
DRYER
X
$10 00
=
15
FUEL BURNING WATER HEATER
X
510 00
=
a' (:),t9 c.
16
MISC. FUEL BURNING APPLIANCE
X
510.00
=
17
GAS PIPING (each outlet)
X
51.00
=
18
DUCT SYSTEMS
X
510 00
=
19
VENTILATING FANS
X
510 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 I HOOD
X
550 00
=
24
TYPE II HOOD
X
$10 00
=
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
512 00
=
26
AIR CONDITIONER
3-15 TON
X
520 00
=
27
AIR CONDITIONER
15-30 TON
X
525 00
=
28
AIR CONDITIONER
30-50 TON
X
535.00
=
29
AIR CONDITIONER
More than 50 TON
X
S60 00
=
30
LPG STORAGE TANK
X
510 00
=
31
WOOD OR PELLET STOVE/INSERT
X
510 00
=
32
WOOD STOVE - FREE STANDING
X
525.00
=
33
REPAIR & ADDITIONS
X
515.00
=
34
VENTILATION SYSTEMS
X
512.00
=
35
VENTILATION MECHANICAL EXHAUST
X
512.00
=
36
INCINERATOR — RESIDENCE
X
519.00
=
37
INCINERATOR — COMMERCIAL
X
$22.00
=
METHOD OF PAYMENT:
0 CASH 0 CHECK 0 VISA 0 MC
/-eon x
SUBTOTAL
l0, ea
DATE
PROCESSING FEE
535.00
EXPIRES
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE.