2007, 02-22 Permit App: 07000507 Mechanical FixturesSfitikane
Community Development
Mechanical Permit
SITE ADDRESS:
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
W wW. spokanevallev.or2
Application 0
361'2
Building Owner / 1/ O Lz.-1/i4
FEB
CC7' ?007
Comme Bial Residential
Name:
Address:
j s`; cy c t/ile
Jaz/ $ eVoek t
Contractor
Name:
Address:
License No:
Contact.
Name:
Fax:
Phone: yz 7-'//L' 5
City: �Y 1, h/t: ^� 4/ State: /1.4.
Phone:
City:
City Business Lic:
Fax:
State:
Zip: 9 �'LD4,
Zip:
Phone:
DESCRIPTION OF WORK
1
2
3
4
5
6
7
FUEL BURNING APPLIANCE
Equal to or less than 100,000
FUEL BURNING APPLIANCE
More than 100,000
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
UNLISTED APPLIANCE (Additional Fee)
More than 400,000
USED APPLIANCE (WSEC min. AFUE rating)
Equal to or less than 400,000
USED APPLIANCE (WSEC min. AFUE rating)
More than 400,000
8
9
10
11
12
BOILER/REFRIGERATION
1 - 100M BTU
BOILER/REFRIGERATION
101 - 500M BTU
BOILER/REFRIGERATION
501 - 1,000M BTU
BOILER/REFRIGERATION
BOILER/REFRIGERATION
GAS LOG, GAS INSERT, GAS FIREPLACE
1,001 -1,750M BTU
More than 1,750M BTU
13
RANGE
14
DRYER
15
FUEL BURNING WATER HEATER
16
MISC. FUEL BURNING APPLIANCE
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
GAS PIPING (each outlet)
DUCT SYSTEMS
# OF UNITS
/
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
COST
$12.00
$15.00
$50.00
$100.00
$50.00
$100.00
$12.00
$20.00
$25.00
$35.00
$60.00
$10.00
$10.00
$10.00
$10.00
$10.00
$1.00
TOTAL AMOUNT
X
$10.00
VENTILATING FANS
X
$10.00
AIR HANDLER (DOES NOT include ducting)
AIR HANDLER (DOES NOT include ducting)
EVAPORATIVE COOLERS
TYPE HOOD
Equal to or less than 10,000 CFM
Greater than 10,000 CFM
X
$12.00
X
$15.00
X
$10.00
X
$50.00
TYPE II HOOD
X
$10.00
HEAT PUMP/AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
0-3 TON
X
$12.00
3-15 TON
X
$20.00
15-30 TON
X
$25.00
AIR CONDITIONER
30-50 TON
X
$35.00
AIR CONDITIONER
More than 50 TON
X
$60.00
LPG STORAGE TANK
X
$10.00
WOOD OR PELLET STOVE/INSERT
WOOD STOVE - FREE STANDING
34
35
36
37
REPAIR & ADDITIONS
X
$10.00
X
525.00
X
515.00
VENTILATION SYSTEMS
X
$12.00
VENTILATION MECHANICAL EXHAUST
INCINERATOR - RESIDENCE
X
512.00
X
519.00
INCINERATOR - COMMERCIAL
X
$22.00
METHOD OF PAYMENT:
['CASH 10 CHECK D VISA DMC
CARD #:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
TOTAL PERMIT FEE DUE:
/2,9D
$35.00