2003, 12-09 Permit App: BLD-03-03235 Furnace, Piping Scarr or arm 11707 Eastr Sprague Avenue,Suite 106 509-688=0036-Phone
pokane Spokane Valley,WA 99206 509-688-0037-Fax
.0001/alley
•Mechanical Permit Application
PROJECTS
ADDRESS: �/O ! PERMIT
` �-8�I�C.�C1/�"�'� USE:
OWNER: AU PHONE(Daytime Contact):
(�/ S� 1 LI
MAILING ADDRESS:
(street) (city/state) (ZIP)
CONTRACTOR: LICENSE#:
TL-(, t ei 1;2144 I."' Vf-7/eq, .5 .-
MAILING ADDRESS: -‘ PHONE#:
(street) (city/state) (ZIP)
DESCRIPTION OF WORK 8OFUNITS X COST EQUALS AMOUIIVT
1 FUEL BURNING APPLIANCE •OR<100,000 1 X ' $15 -
2 FUEL BURNING APPLIANCE >100,000 X $19 .
3 UNLISTED APPLIANCE(ADDITIONAL FEE) =OR<400,000 X $50
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 - X $10 .
16 MISC FUEL BURNING APPL. - X $10 .
17 GAS PIPING(ea.Outlet) - a X $1 -
18 DUCT SYSTEMS - X $10 .
19 VENTILATING FANS - X $10 .
20 AIR HANDLER(DOES NOT include ducting) •OR<10,000CFM X $12 .
21 AIR HANDLER(DOES NOT include ducting) >10,000 CFM X $19 .
22 EVAPORATIVE COOLERS - X $10 .
23 TYPE I HOOD - X $50 .
24 TYPE II HOOD - X $10 .
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
IMMO.
iwSPP ' ; TOTAL PERMIT FEE DUE:
El CASH ❑ CHECK ❑ ❑ ..—._ v -.,
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE: