2005, 09-13 Permit App: 05003376 Furnace, ACSpokan�� 11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www.spokanevallev or. corn
Mechanical Permit Application o Commercial
Permit Center
j\&tIey
SITE ADDRESS 75 /2 c y FA
iPERMITaNUMBER:t7
aIERMJT FEE'
KResidential
�:_t?-� ry
:Building canerait u -L i, ` `C7-'.=" •:I aFFO'toQe .'2u i3cc?!S:g:3-P 'K -`s_ a;�"_3.-'> kr '`¢:�.s. n,, -
Phone: Fax
Name:``
���� /�
Address: afen, di PGive.,.� City, At. State G/ zirCeigar
aril—
:;Cofn[rsco.',r,:cre/Ci:n�h%4- z:,sXT.e_.". i r'.:}2i_.J�•: --fiL$- maid
h;N.n, .....
Name: Phone: Fax:
Address: City State Zip
License No: - .0 L '2 J City Business License No:
c8' i:�v{ $ i-. 'tA �"j" :.i r, k. ":.. ]?F'r,•1u 'cf. �7Y+nsy - vm.,-. , ^.; •� ;"'se`KFc 7? {t �t35,4 4' � {; : ; ..
`Contac[-. .1a4 �r�V±an��uF?.-'�':'`^ _ __.-_._-�;�va�:t-:i=s�•r�tMa+3ra.ekctv'✓<'.'.`Yi.�'a�i'a. �'!a'..�"...`'.-,==',.::..tj'�f, _�.i�:T+R:•#' s� .. .ici�r3ttr�'�u�?L✓^ _Yo:::a:�r. of _,`:
Name: Phone:
DESCRIPTION OF WORK
OF UNITS
x
COST
= TOTAL AMOUNT
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
$100 00
7
BOILER/REFRIGERATION
1- 100M BTU
X
$12 00
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
$10 00
14
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 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 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 O[PAYMENT:
[CASH ® CHECK ❑ VISA 0 MC
CARD #: /I
DATE.
EXPIRES'
AUTHORIZED SIGNATURE:
SUBTOTAL
PROCESSING FEE
TOTAL PERMIT FEE DUE:
$35.00
REVISED 8/26/05