2006, 09-26 Permit App: 06003846 Mechanical FixturesSfiarine11707 E Sprague Ave, Suite 106
Vatlesr Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development u'ntiv.snokanevallev.or2
Mechanical Permit Application ❑ Commercial
SITE ADDRESS: /3 CR / . 1° 1.r
esidential
BuildingOvvner 472 ,pi A 6.1) 'r s
Name: Phone: 7). Q 6_ .ya 97 Fax:
Address: Q./ C. City. <-to a/7State: 1. Zip: d
Contractor -
Name: Phone: Fax:
Address: City. State: Zip:
License No: City Business Lic:
Contact .... -
Name: Phone:
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal 10 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 - IDDM BTU
X
$12.00
=
8
BOILER/REFRIGERATION
101 - 50DM 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
Q
X
$10.00
=
i6
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
1
X
$10.00
=
IC
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.D0
=
36
INCINERATOR - RESIDENCE
X
$19.00
=
37
INCINERATOR - COMMERCIAL
X
$22.00
=
METHOD OF PAYMENT:
DCASH 0 CHECK 0 VISA 0 MC
CARD #:
SUBTOTAL
EXPIRES:
PROCESSING FEE
5335..0
VIN:
TOTAL PERMIT FEE DUE:
A K
AUTHORIZED SIGNATURE:
REVISED 1/26/05