2007, 03-27 Permit App: 07000967 Mechanical FixturesPermit Center
S*•�7���� e ® 11707 E Sprague Ave, Suite 106 PERMIT NUMBER:
p 1Ca- ne' Spokane Valley, WA 99206
VAlley' (509)688-0036 FAX: (509)688-0037 PERMIT FEE:
Community Development Wti vti a.spokanevallev.ore
Mechanical Permit Application ❑ Commercial ❑ Residential
SITE ADDRESS:
J
Building Owner
'
/ems
# OF UNITS I X
Name:
ce`7Yt..r►..�
Phone: �9s, _ /0 /
Fax:
Address:Qyo
�a Z11A
City:
Stater Zip:
Contractor
res t
-1 7 7 2- --
X
Name:
Phone:3 7 7
Fax:
Address:
/li/O 7 �? 1
City: y
State: (�" K Zip.
License No:
UNLISTED APPLIANCE Additional Fee
City Business Lic:
X
Contact
"(// � S
W
USED APPLIANCE SEC min. AFUE rating)
Name:
X
Phone:
-
DESCRIPTION OF WORK
# OF UNITS I X
COST
= TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
$12.00
=
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 SEC min. AFUE rating)
Equal to or less than 400,000
X
$50.00
-
6
USED APPLIANCE CWSEC min. AFUE ratio
More than 400,000
X
$100.00
=
7
BOILERIREFRIGERATION
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 ductin
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
$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 -
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
X
$25.00 =
33
REPAIR & ADDITIONS
X
$15.00 -
34
VENTILATION SYSTEMS
X
$12.00 =
35
VENTILATION MECHANICAL EXHAUST
X
$12.00 =
36
INCINERATOR - RESIDENCE
X
$19.00 -
37
INCINERATOR - COMMERCIAL
X
$22.00 -
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
AUTHORIZED SIGNATURE:
REVISED 8126105
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
TOTAL PERMIT FEE DUE:
$35.00