2007, 04-10 Permit App: 07001197 Mechanical Fixtures04/10/2007 10:20 FAX 5093252615
.000116
Community Development
Mechanical Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www. spokanevallev.ort
Sturm neat -tag
❑ Commercial
PERMIT NUMBER: 140 r
PERMIT FEE:
esidential
SITE ADDRESS: NY\ o :1 5 . Y'QVt
- 414101'Dwnet a 1
Name: `C.-.1 6 CZ:). t..... S Phone: Fax:
Address: ��n� S s City:
., te:Stat >, Zip 0
,az 4
o$t10ufp r 4
Name: S - i\:N. -,c-t', I-vc_-S-tlt... Phone: 5r9,-7- �rl Fax: ,_ Q:S-c�(sy I�
Address: \ \ \ t . e_\�G A ` City: , V_ ri ry State: �D Zip' 9''.ic ci,C1
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-_ I .-. City Busines Lic:
-<., -rL`♦
/Lnice.nAse1No:
Name:-
,____.,.......D% xis --1 V% A Phone: _ L
DESCRIPTION OF WORK
*OF UNITS
X
COST
=
TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100 000
\.
X
$12.00
=
t a ,nD
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
=
_1_8
. DUCT SYSTEMS
X
$10.00
=
19
VENTILATING FANS
X
$10.00
=
20
AIR HANDLER (DOES NOT Include ducting)
Equal to or less then 10 000 CFM
X
$12.00
=
21
AIR HANDLER (DOES NOT include ductin,
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
4-15 TON
X $20.00
=
27
AIR CONDITIONER
15-30 TON
X $25.00
28
AIR CONDITIONER
30-50 TON
X $35.00
=
23
AIR CONDITIONER
More than 50 TON
X $00.00
=
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 IL ADDITIONS
X $15.00
=
34
VENTILATION SYSTEMS
X $12.00
-
35 _
VENTILATION MECHANICAL EXHAUST
X $12.00
=
36
INCINERATOR -RESIDENCE
X 519.00
=
=
37
INCINERATOR -COMMERCIAL
*
X $22.00
METHOD OF PAYMENT: J
SUBTOTAL
❑CASH 0 CHECK ISA ❑ MC `-" EXPIRES:
PROCESSING FEE
$35.00
CARD #, .......,VIN:
TOTAL PERMIT FEE DUE:
141 , Ci,
AU 1 ED SIGNATUIt '., r l ✓tom c _
REVISEEDD VMT 8/1G'OS
APR 10 200? 10:19
5093252615 PAGE.01