2008, 11-24 Permit App: 08004609 Fireplace, Piping.®\ Permit Center
�'+ 11707E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
CommunitY Development ww v.spokanevanev.or2 0 Commercial
Permit Application
SITE ADDRESS:
71.4
PERMIT NUMBER: -[-- _
PERMIT FEE: (7)'
e�itIeutial
Building Owner ,( l c lr''l, C;' (i641 \ 774. I (. a '
_: Z
Name
CFax:
tj C ffJ State z3P:c7 �
: ''�, `)
tf .
Fax
g�} " ZiP: ' 4i,4
Kk tfe e State: LA./
J�jtlu
ytnf
Co 2{
g
citr - i
Contractor .3 4.'. 4 fl4 7 i¢ TZ.
,4.
Name:
Address:
Lj l_ t(! a, e e~'i'T•c (
'
License No: gt� N 63%4 - ` 0 ?sot t I a y Business Iic:
Contact 3 C. J j
,((
Name: Phone: -7 i U -- 2 VA* C e//
...
--
OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
DESCRIPTION
Equal to or less Ihan 100,000
X
512.00
=
1
FUEL BURNING APPLIANCE
APPLIANCE
More than 100,000
X
515.00
-
2
FUEL BURNING
(Additional Fee)
Equal to or less than 400,000
X
150.00
=
3
UNLISTED APPUANCE
(Additional Fee)
More than 400,000
X
1100.00
=
4
UNUSTED APPUANCE
min. AFUE ming)
Equal to or less than 400.000
X
550.00
=
5
USED APPUANCE (WSEC
min. AFUE rating)
More than 400,000
X
S100.00
=
6
USED APPLIANCE (WSEC
1-100M BTU
X
112.00
=
7
BOILER/REFRIGERATION
101 - 500M BTU
X
520.00
=
8
BOILERIREFRIGERA"IION
501-1.000M BTU
X
$25.00
=
9
BOILER/REFRIGERATION
=
1.001 - 1,750M BTU
X
x.00
10
BOILER/REFRIGERATION
More than 1.750M BTU
-
X
560.00
i--
11
BOILER/REFRIGERATION
LOG, GAS INSERT, GAS FIREPLACE
-
/
X
510.00 '
=
/ 0. t2(j
12
12
GAS
X
110.00
=
13
RANGE
X
$10.00
=
14
DRYER
BURNING WATER HEATER
X
$10.00
=
15
FUEL
FUEL BURNING APPLIANCE
X
110.00
=
16
MISC.
GAS PIPING (each outlet)
X
51.00
=
/1.. a U
17
DUCT SYSTEMS
X
110.00
=
18
VENTILATING FANSX
$10.00
=
19
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10.000 CFM
X
112.00
=
20
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10.000 CFM
X
515.00
=
22
EVAPORATIVE COOLERS
X
110.00
=
23
TYPE I HOOD
X
$50.00
=
24
TYPE 11 HOOD
X
310.00
=
25
HEAT PUMP/AR COMMONER
0-3 TON
X
512.00
=
26
AIR CONDITIONER
3-15 TON
X
520.00
=
27
AIR CONDITIONER
15-30 TON
X
$25.00
=
28
AIR CONDITIONER
30-50 TON
X
$35.00
=
29
AIR CONDITIONER
More then 50 TON
X
560.00
=
30
LPG STORAGE TANK
X
510.00
=
31
WOOD OR PELLET STOVEIINSERT
X
510.00
=
32
WOOD STOVE- FREE STANDINGX
525.00
=
33
REPAIR & ADDITIONS
X
$15.00
=
34
VENTILATION SYSTEMS
X
$12.00
=
VENTILATION MECHANICAL EXHAUST
X
$12.00
=
35
36
INCINERATOR -RESIDENCE
X
$19.00
=
37
INCINERATOR - COMMERCIAL.
X
122.00
METHOD OF PAYMENT:
DCASH 0 CHECK ElVISA p,MC EXPIRES:
%`\ �t
-j��.(f.wi1TCT77T C�Tl1.h'rTiD- ) j))►►"jj L.,�$M-.A;
1�f 14
SUBTOTAL
I I ' 0 d
PROCESSING FEE
535.00
TOTALPERMITFEEDUE
•CI6
nvaaava�a4..uai
REVSED 8x26105