2015, 05-18 Permit App: BLD-2015-1135 Mechanical FixturesSOkan
Valley
Community Development
1 Project
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevallev.ora.com •
Mechanical Permit Application
RECEIVf
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Name: I. 72-✓teoysJ Jeerc LL Phone: . Fax
Address: City State Zip
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Name: 5po ra,A..e _ /44ec" 1,;4„,ii ca( Phone: Fax:
Address: City State Zip
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License No: City Business License No:
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Name: Phone:
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
1
X
$12.00
=
(Z
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
X
$100.00
$12.00
=
=
-
7
BOILER/REFRIGERATION
1 - 100M BTU
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
1,
X
X
$10.00 •
$10.00
=
=
(p
13
RANGE
14
DRYER
1
X
$10.00
=
1 p
15
FUEL BURNING WATER HEATER
1
x
$10.00
=
/0
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
=
17
GAS PIPING (each outlet)
3
1
X
X
$1.00
$10.00
=
=
3
10
18
DUCT SYSTEMS
19
VENTILATING FANS
1
X
X
$10.00
$12.00
=
=
40
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10,000 CFM
X
$15.00
=
22
EVAPORATIVE COOLERS
X
$10.00
=
23
TYPE 1 HOOD
X
$50.00
=
24
TYPE 1I HOOD
1
X
$10.00
=
1()
25
HEAT PUMP/AIR CONDITIONER
• 0-3 TON
1
X
$12.00
=
1 t
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 h.
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 0 CHECK 0 VISA 0 MC DATE:
CARD #: EXPIRES:
SUBTOTAL
i I L4
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
1UTHORIZED SIGNATURE:
REVISED 8/26/05