2014, 06-09 Permit App: BLD-2014-1313 Insert " e ® 11707E Sprague Ave,Suite,106 PERMIT NUMBER:
i�'�� Spokane Valley,WA 99206
.0000
r � (509)688-0036 FAX:(509)688-0037 , . •
Community Development w.snokanevallev.ors PERMIT FEE:
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Mechanical Permit Application ❑ Commercial kiResidential
SITE ADDRESS: 1 . 4r n 9rtss
Building Ovrner . _ • .
Name: i1 JCI//$ GO4st. Phone: cI ,x� 6' Fax: J3 t' Ofd
Address: City. I State: i Zip:
Name: c cym it.,r/ /' 66.,,A,pv'6,/i/ Phone: ?i,....• 8._0E.e,j.-. Fax
9 2 6 - b 3?0
Address: p.(2, 617,;e, /5 c8 C!f�r..A.,4-e,,..65 City: 5/00,r/3/y Q State: 6'vif. Zip: 9 96746
License No: (, F0/7? C-0 3 8A-6 City Business Lic: Z. 062_3 y1ji
Contact . . _
Pbone:
Name: 8/G r. f e0 0 el 07 / c1 Y Q" csa,- ...
DESCRIPTION OF WORK #OF UNITS X . 996 - --TW ' AMOIJN 2.,s __,_
1 FUEL BURNING APPLIANCE Equal to or less than 100,000 X $12.00 ,�{I �j
i L.3
2 FUEL BURNING APPLIANCE More than 100.000 I r��C.. _��[[n/ 1� �/
3 UNLISTED APPLIANCE(Additional Fee) Equal to or less than 400,000 X
-E E1VFD
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 i X $50 QQ,, a-----
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6 USED APPLIANCE(WSEC min.AFUE rating) More than 400,000 ; X $100;8 I
0' 1 14
7 BOILER/REFRIGERATION _ 1-100M BTU I X $12.00 =
8 BOILER/REFRIGERATION 101-500M BTU X 'S it214. R k-I4 T CENTER
9 BOILER/REFRIGERATION 501-1.000M BTU (X _ .$25.00.-•-- = r r__-.
10 BOILER/REFRIGERATION 1.001-1.750M BTU _ $7C` '� $35.00 j0. =13 -- /. -
11 BOILER/REFRIGERATION More than 1,750M BTU A .-
•
12 GAS LOG,GAS INSERT.GAS FIREPLACE / X $10.00 = it) 003
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 = //, 0'3
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 10.00D 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 CONDMONER 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 STOVEANSERT 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 OF PAYMENT: SUBTOTAL .3!) cr°
OCASH 0 CHECK ❑VISA ❑MC EXPIRES: PROCESSING FEE $35.00
CARD# VIN: TOTAL PERMIT FEE DUE: Ss °O
AUTHORIZED SIGNATURE:
REVISED 8126/05