2003, 12-31 Permit App: 03008993 Mechanical Fixtures Srrrrc Ire `' 11707 East Sprague ,v.enue,Suite 106 509-688-0036-Phone
POa � Spokane Valley, WA 99206, 509-688-0037-Fax
.Valley For Ing pest .ons, call 509-688-0054
-Mechanical Permit Application
PROJECT PERMIT
ADDRESS: USE:
OWNER PHONE(Daytime Contact):
MAILING ADDRESS:
(street) (city/state) (ZIP)
CONTRACTOR: C (s� ' slil LICENSE S:
MAILING ADDRESS: PHONE 5:
(street) (city/state) (ZIP)
DESCRIPTION OF WORK t OF UNITS X COST EQUALS AMOUNT
1 FUEL BURNING APPLIANCE -OR<100,000 \ X $15 - .kC .
2 FUEL BURNING APPLIANCE >100,000 X 819 -
3 UNLISTED APPLIANCE(ADDITIONAL FEE) -OR<400,000 X 850 -
4 UNLISTED APPLIANCE(ADDITIONAL FEE) >400,000 X $100 -
5 USED APPLIANCE(WSEC min.AFUE rating) -or<400,000 X $50 -
6 USED APPLIANCE(WSEC min.AFUE rating) >400,000 X $100 -
7 BOILER/REFRIGERATION 1-100M BTU X $15 -
8 BOILER/REFRIGERATION 101-500M BTU 'X $28 -
9 BOILER/REFRIGERATION 501-1,000M BTU X $39 -
10 BOILER/REFRIGERATION 1001-1,750M BTU X $57 -
11 BOILER/REFRIGERATION +1750M BTU X $95 -
12 GAS LOG,GAS INSERT,GAS FIREPLACE - X $10 -
13 RANGE - X $10 -
14 DRYER - X $10 -
15 FUEL BURNING WATER HEATER - 1 X $10 - 10
16 MISC..FUEL BURNING.APPL. X $10 -
17 GAS PIPING(ea.Outlet) - '1,-- X $1 - 1.-
18
18 DUCT SYSTEMS - • X $10 -
19 VENTILATING FANS - ''6 X $10 - ✓l)
20 AIR HANDLER(DOES NOT include ducting) -OR<10,000CFM X $12 -
21 AIR HANDLER(DOES NOT Include dulling) >10,000 CFM X $19
22 EVAPORATIVE COOLERS - X $10 -
23 TYPE I HOOD - X S50 -
24 TYPE II HOOD - ' X $10 - ,G
25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12 -
26 AIR CONDITIONER 3-15 TON X $20 -
27 AIR CONDITIONER 15-30 TON X $25 -
28 AIR CONDITIONER 30.50 TON X $35 -
29 AIR CONDITIONER +50 TON X $60 -
30 LPG STORAGE TANK - X $10 -
31 WOOD OR PELLET STOVE/INSERT - X $10 -
32 WOOD STOVE-FREE STANDING - X $25 -
SUBTOTAL:
METHOD OF PAYMENT PLUS PROCESSING FEE: $35.00
- `': i
Y ,�r .. TOTAL PERMIT FEE DUE:
0 CASH 0 CHECK 0 MOBS 0 L _—._
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE: