2006, 08-16 Permit App: 06003206 Heat Pump, ACMEGHANIGAL Nttttlti►t Arr.
Phone: (509)'688-0036; FAX: (
For Inspections, Call (509
Project Address:
Owner. --1\04
Mailing Address: l�Z
Contractor.
Maiiina Address: I •
lAceiV
Building Division
1707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
dZY
ZCods
=7i C 2244
Code
AUTHORIZED SIGNATURE
DESCRIPTION OF WORK
# OF UNITS
X:>;
CST
=
TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100.000
:
$1200
=
2
FUEL BURNING APPLIANCE
More than 100,000
X
$1
_
3
LALISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
X.
650.00
4
UNLISTED APPLIANCE (Additional Fee)
- More than 400 DOD
X
5100.00
=
5
USED APPLIANCE (WSEC min. AFUE rang)
Equal to or less than 400.000
X
*50.00
=
•
6
USED APPLIANCE (WSEC min. AFUE rafinq)
More than 400.000
X
*100.00
=
7
BOILER/REFRIGERATION
1 - 100M BTU
X
*12.00
=
8
BOLER/REFRIGERAT1ON
101- 500M BTU
X
*20.00
=
9
.- TION
501 - 1,000M BTU
X
*25.00
=
10
BOILER/REFRIGERATION
1.001 -1.75DM BTU
X
*35.00
=
11
BOILER/REFRIGERATION
More than 1.750M BTU
X
560.00
=
12
GAS LOG, GAS INSERT. GAS FIREPLACE
X
*10.00
=
13
RANGE
:
X
*10.00
=
14
DRYER
X
$10.00
=
113
FUEL BURNING WATER HEATER
r
X
510.00
=
16
MISC. FUEL BURNING APPLIANCE
-ti
X
510.00
=
17
( GAS PIPING (each outlet)
X
51.00
=
18
DUCT SYSTEMS
X
*10.00
=
19
VENTILATING FANS
X
*10.00
=
20
AIR HANDLER (DOES NOT include duc6nq)
Equal to or less than 10.000 CFM
X
$12.00
=
,
21
AIR HANDLER (DOES NOT include ductlng)
Greater than 10,000 CFM
X
*15.00
=
22
EVAPORATIVE COOLERS
X
510.00
=
23
TYPE I HOOD
X
*50.00
=
24
TYPE II HOOD
X
510.00
=
25
HEAT PUhQP/A1R CONDITIONER
0-3 TON
/
X
51200
=
r?<0
26
AIR CONDITIONER
3-15 TON
X
'x.00
=
27
AIR CONDITIONER
15-30 TON
X
525.00
=
28
AIR CONDITIONER
30-50 TON
X
x.00
=
29
AIR CONDITIONER
More than 50 TON
X
560.00
=
30
LPG STORAGE TANK
X
510.00
=
31
WOOD OR PELLET STOVE/INSERT
X
*10.00
=
32
WOOD STOVE - FREE STANDING
X
x.00
=
33
REPAIR & ADDITIONS
-
X
515.00
=
34
VENTILATION SYSTEMS'
X
51200
=
35
VENTILATION MECHANICAL EXHAUST
X
51200
=
36
INCINERATOR - RESIDENCE
X
519.00
=
37
INCINERATOR -COMMERCIAL-
X
522.00
=
METHOD OF PAYMENT:
0 CASH 0 CHECK 0 VISA 0 MC
CARD #:
DATE
SUBTOTAL
PROCESSING FEE
EXPIRES:
TOTAL PERMIT FEE DUE:
//,,535.00 LY
l ° W
AUTHORIZED SIGNATURE