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2008, 06-12 Permit App: 08002233 Mechanical Fixtures
Sfitiliane jValley• Community Development Mechanical Permit Application Permit Center 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 www.spokanevalley.org PERMIT NUMBER: PERMIT FEE: n Commercial Residential SITE ADDRESS: E: /2-//// e/ / Building Owner G,/4 /5 hit /7 ,�j/ / - // Name: (7A&! S pI/` // Ptle L',Y�%3`t�J1©-2/47 y Fax: Address: C 1 /Gi II/ Jif 2/`% 7C <c/0/ City: �iJ"� r-`•I� `/44 State: "Oa Zip: Contractor �j /� �/�� Name: ,(� doew�. d /,%< ee_f,t,�l�( JG,; jiG,"Phone:5,,I.G95L/7 Fax: /� jW5-4/7 Address: k'/ 4ax i�/Ig5 G` City: .!v©Z..a State: am Zip: License No: 2)/% A% 07/j /4., L� L City Business/Lic: Contact Name: <3ce `r -94 44/N Phone: ,5.. g, 05i7 DESCRIPTION OF WORK # OF UNITS X COST = TOT FUEL BURNING APPLIANCE Equal to or less than 100,000 x $12.00 /9 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 (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 r. 17 18 GAS PIPING (each outlet) DUCT SYSTEMS X $1.00 l X $10.00 19 VENTILATING FANS x $10.00 20 21 22 AIR HANDLER (DOES NOT include ducting) AIR HANDLER (DOES NOT include ducting) EVAPORATIVE COOLERS Equal to or less than 10,000 CFM X $12.00 Greater than 10,000 CFM X $15.00 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 /7 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: Effective 10-28-07 EXPIRES: VIN: SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: P:\Community Development\Forms\Building forms\Mechanical Permit Application.doc