2006, 05-24 Permit App: 06001977 Heat Pump, ACSro" Bane
ey
Community Development
Mechanical Permit
reiTmr l.enier
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.sookanevallev.ors
Application ❑ Commercial ❑ Residential
PERMIT NUMBER: / g'7
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PERMIT FEE:
SITE ADDRESS: / �ig (
Building Owner
Name: 71 r /21 a y `� Phone: Fax:
Address:Q
(� City.
S
V,`/ tate: Zip:
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,Q"pp0,1-...y,,-
Contractor U !�` -
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Name: 5G C, ' `- r I � Phone: 2 7 < Fax:
Address: 4 ` 2J �-�/ (/ /riG City. -e J/ ,n `V 7 te: 34/a Zip:
License No: . % 7 C' , f d x C City Business Lic: /
Contact
Name:
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DESCRI TION OF ORK
Phone: c�Cj
k
7 �'
# OF UNITS
��
X
COST
=
TOTAL AMOUNT
1
FUEL BURNING PLIANCE
Equal to or less than 100,000
X
$12.00
=
2
FUEL BURN APPLIANCE
More than 100,000
X
$15.0D
=
3
UNLISTED PLIANCE (Additional Fee)
Equal to or less than 400,000
X
$50.0D
=
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
=
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
550.00
=
24
TYPE II HOOD
X
510.00
=
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
/
X
512.00
=
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
560.00
=
30
LPG STORAGE TANK
X
$10.00
=
31
WOOD OR PELLET STOVE/INSERT
X
510.00
=
32
WOOD STOVE - FREE STANDING
X
$25.00
=
33
REPAIR & ADDITIONS
X
$15.00
=
34
VENTILATION SYSTEMS
X
512.00
=
35
VENTILATION MECHANICAL EXHAUST
X
$12.00
=
36
INCINERATOR - RESIDENCE
X
$19.00
=
37
INCINERATOR - COMMERCIAL
X
522.00
=
METHOD OF PAYMENT:
DCASH 0 CHECK 0 VISA 0 MC
CARD #.
SUBTOTAL
EXPIRES:
PROCESSING FEE
535.00
VIN'
TOTAL PERMIT FEE DUE:
4(7 Od
AUTHORIZED SIGNATURE:
REVISED II/26/05