2007, 01-25 Permit App: 07000236 Water HeaterSpokane�`"
Community Development
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
ww-w. spokaneval ley. oro
Mechanical Permit Application
PERMIT NUMBER:.3-01,3�
PERMIT FEE:
n Commercial Residential
SITE ADDRESS: 510 S P8 fin Yl�
Building Owner
Name: (� RA( p. t- t e S /e
u t'V it
Phone: 12 Si _rte 7
Fax:
Address:
City. C, �i,e. V5
State: i 4
"�"
Zip 26j
Contractor
y
Name:At( C // --
'A'll La (
Phone: 3- ON -6-z/ 5
Fax: /47-0C/S-0
Address: - iy E+ _/� `I�
J� r"r b"1
City: ,4i� e
�% �i
State: �/,
Zip: f 1
�7 2
License No: ,t ) /}cxcM�� / 7 1 H
/`f /c
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City Business Lic:
Contact
l , / /
Name: GU U hArnic'r
Phone: �3o .
# OF UNITS
X
COST
= TOTAL AMOUNT
1
2
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
$12.00
f2"
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
11
12
13
BOILER/REFRIGERATION
BOILER/REFRIGERATION
GAS LOG, GAS INSERT, GAS FIREPLACE
RANGE
1,001 - 1,750M BTU
More than 1,750M BTU
X
X
X
X
$35.00
$60.00
$10.00
$10.00
14
DRYER
X
$10.00
15
FUEL BURNING WATER HEATER
X
$10.00
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
/0"
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
23
24
EVAPORATIVE COOLERS
TYPE IHOOD
X
$10.00
X
$50.00
TYPE II HOOD
X
$10.00
25
26
27
28
29
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
AIR CONDITIONER
30-50 TON
X
$35.00
More than 50 TON
30
LPG STORAGE TANK
X
X
$60.00
$10.00
31
32
33
34
35
36
37
WOOD OR PELLET STOVE/INSERT
X
$10.00
WOOD STOVE - FREE STANDING
REPAIR & ADDITIONS
X
$25.00
VENTILATION SYSTEMS
X
$15.00
VENTILATION MECHANICAL EXHAUST
INCINERATOR - RESIDENCE
X
$12.00
X
$12.00
INCINERATOR - COMMERCIAL
X
$19.00
METHOD OF PAYMENT:
['CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
AUTHORIZED SIGNATURE
REVISED 8/26/05
X
$22.00
EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE: