2007, 04-16 Permit App: 07001279 Heat Pump, ACSp03kan v
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Community Development
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevallev.orst
Mechanical Permit Application D Commercial
SITE ADDRESS: 3 2 ii f c l P .� ('c L A.) .
PERMIT NUMBER: f ---79
[esideitial
PERMIT FEE: 7 .
Building Owner T Dia f -(--U
Name:
9
Phone:I7S-
Fax:
Address:
3 ? cc,e ll, t( ( k,4iij
(7
City. ' rL2v4 (/c ll
State .
Zip: `r'.`90 . f
Contractor
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Name:
/3/1( CLl J (L C L4 •T (
Phone: oil - k P e (
Fax: SGA i,,,.(Address:
/ Y Le [ 2 /� _ CG f'z- ( JJ GL
CityS (671,4 Uhl (t s-1
state: c,.1 A
Zip: f9 2 c
License No:
r
c'C-E �.�r3-�o�� � 3
City Business Lic:
Contact....
r [ ( C ✓ r Ctt # I
Name:
Phone: 7 / U -- ? Z (f 6,
DESCRIPTION OF WORK
# OF UNITS
X
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
2
FUEL BURNING APPLIANCE
More than 100,000
X
COST
512.00
$15.00
= TOTAL AMOUNT
3
4
UNLISTED APPLIANCE (Additional Fee)
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400.000
X
550.00
More than 400,000
X
5100.00
5
USED APPLIANCE (WSEC min. AFUE rating)
Equal to or Tess than 400,000
X
$50.00
6
USED APPLIANCE (WSEC min. AFUE rating)
More than 400,000
X
$100.00
7
BOILER/REFRIGERATION
1-100MBTU
X
$12.00
8
BOILER/REFRIGERATION
101 - 500M BTU
X
520.00
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
525.00
10
BOILER/REFRIGERATION
1,001 - 1,750M 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
510.00
14
DRYER
X
$10.00
15
FUEL BURNING WATER HEATER
X
510.00
16
MISC. FUEL BURNING APPLIANCE
X
510.00
17
GAS PIPING (each outlet)
x
51.00
18
DUCT SYSTEMS
X
510.00
19
VENTILATING FANS
X
$10.00
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
X
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10,000 CFM
X
$12.00
$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
26
AIR CONDITIONER
3-15 TON
X
$12.00
$20.00
p0
27
AIR CONDITIONER
15-30 TON
X
$25.00
28
AIR CONDITIONER
30-50 TON
X
535.00
29
AIR CONDITIONER
More than 50 TON
X
$60.00
30
LPG STORAGE TANK
X
$10.00
31
WOOD OR PELLET STOVE/INSERT
X
$10.00
32
WOOD STOVE - FREE STANDING
33
REPAIR & ADDITIONS
34
VENTILATION SYSTEMS
35
VENTILATION MECHANICAL EXHAUST
36
INCINERATOR - RESIDENCE
x
X
X
X
X
$25.00
$15.00
512.00
$12.00
$19.00
37
INCINERATOR - COMMERCIAL
X
$22.00
METHOD OF PAYMENT:
DCASH D CHECK D VISA DMC
CARD #:
AUTHORIZED SIGNATURE:
REVISED 8n6/05
EXPIRES:
VIN:
SUBTOTAL
/ 0
PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE:
y7.o6